Individual
ELIZABETH V VESSELOVSKAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
14800 W MOUNTAIN VIEW BLVD STE 160, SURPRISE, AZ 85374-2700
(623) 584-3376
(623) 584-3375
Mailing address
14800 W MOUNTAIN VIEW BLVD STE 160, SURPRISE, AZ 85374-2700
(623) 584-3376
(623) 584-3375
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6656
AZ
Other
Enumeration date
02/23/2017
Last updated
02/21/2018
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