Individual
MRS. ANYA PEYSAKHOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
21 TAMAL VISTA BLVD STE 103, CORTE MADERA, CA 94925-1133
(415) 927-7660
(415) 927-7663
Mailing address
21 TAMAL VISTA BLVD STE 103, CORTE MADERA, CA 94925-1133
(415) 927-7660
(415) 927-7663
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
022137
NY
363AS0400X
Surgical Physician Assistant
Primary
58169
CA
Other
Enumeration date
07/02/2018
Last updated
09/15/2020
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