Individual
KRISTINA FEDOROVNA SHALYGINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-S
Contact information
Practice address
1260 ELM ST, MANCHESTER, NH 03101-1305
(603) 716-8663
Mailing address
48 CASCADE CIR, MANCHESTER, NH 03103-6905
(160) 371-6866
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
64358
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/02/2023
Last updated
06/21/2024
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