Individual
DR. ANASTASIA KOSTRUBALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1145 STURGIS RD, TWENTYNINE PALMS, CA 92277
(760) 830-2724
Mailing address
NMRTC TWENTYNINE PALMS, 1145 STURGIS RD, TWENTYNINE PALMS, CA 92277
(760) 830-2724
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
2084P0800X
Psychiatry Physician
Primary
MD60849938
WA
Other
Enumeration date
06/10/2015
Last updated
11/03/2023
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