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Individual

AKSANA A PERAKROSTAVA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
9150 MARSHALL ST, SUITE #7, PHILADELPHIA, PA 19114-2217
(215) 677-6194
Mailing address
282 RIDGEWAY PLZ, PHILADELPHIA, PA 19116-3513
(215) 820-8584
(215) 953-9814

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
PA

Other

Enumeration date
07/29/2006
Last updated
09/18/2008
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