Individual
ELIZABETH P KUSTYUKOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1015 S 16TH AVE, YAKIMA, WA 98902-5316
(253) 921-1377
Mailing address
1015 S 16TH AVE, YAKIMA, WA 98902-5316
(509) 574-4917
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
04/05/2025
Last updated
01/01/2026
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