Individual
ALICIA GARCIA ROUSSKIKH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1017 SW MORRISON ST STE 400, PORTLAND, OR 97205-2629
(971) 236-6558
Mailing address
1780 E MCFADDEN AVE STE 115, SANTA ANA, CA 92705-4648
(714) 617-5463
(951) 531-9465
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
L9866
CA
Other
Enumeration date
01/10/2024
Last updated
03/30/2024
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