Individual
ALISA KUZNETSOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
4910 MASSACHUSETTS AVE NW STE 114, WASHINGTON, DC 20016-4384
(202) 244-0812
Mailing address
4910 MASSACHUSETTS AVE NW STE 114, WASHINGTON, DC 20016-4384
(202) 244-0812
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA200002399
DC
363AM0700X
Medical Physician Assistant
Primary
C0008678
MD
Other
Enumeration date
10/20/2022
Last updated
04/28/2026
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