Individual
KSENIA A STAFEEVA
Active
Individual
KSENIA A STAFEEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
14891
NV
207W00000X
Ophthalmology Physician
A121489
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689838427
—
NV
Enumeration date
07/10/2008
Last updated
01/03/2024
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