Individual
ALEKSANDR NIKOLAEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4040 S 188TH ST STE 300, SEATAC, WA 98188-5070
(206) 901-1685
Mailing address
4314 236TH ST SW APT T301, MOUNTLAKE TERRACE, WA 98043-6303
(425) 616-6599
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/28/2024
Last updated
05/28/2024
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