Individual
ALEKSANDR YERMAKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9888 GENESEE AVE, LA JOLLA, CA 92037-1205
(619) 301-8026
Mailing address
3535 CAMINITO EL RINCON UNIT 268, SAN DIEGO, CA 92130-3519
(619) 301-8026
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95033355
CA
Other
Enumeration date
01/20/2025
Last updated
01/20/2025
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