Individual
ALISA PUGACHEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPH
Contact information
Practice address
330 BROOKLINE AVE, BOSTON, MA 02215-5491
(161) 766-7700
Mailing address
116 MEADOW RIDGE DR, MORGANTOWN, WV 26505-3075
(215) 900-1206
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/15/2025
Last updated
04/15/2025
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