Individual
IRINA NOVIKOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
83 W MILLER ST, ORLANDO, FL 32806-2031
(321) 841-1050
Mailing address
9851 SUNSET BAY WAY APT 206, ORLANDO, FL 32821-8870
(720) 338-0741
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
08/04/2017
Last updated
08/04/2017
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