Individual
ANASTASIA VLADIMIROVNA SEMENOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
800 S DUKE ST, DURHAM, NC 27701-3902
(919) 801-3573
Mailing address
815 N L ST, TACOMA, WA 98403-1726
(703) 855-7396
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA61102516
WA
Other
Enumeration date
11/18/2020
Last updated
11/18/2020
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