Individual
ALEXANDRER BURLACHKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2402 30TH AVE S APT 218, GRAND FORKS, ND 58201-6580
(701) 317-3596
Mailing address
439 BURDICK CT, GRAND FORKS, ND 58203-2663
(828) 280-7326
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/02/2022
Last updated
06/02/2022
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