Konstantin Sergeyevich Gutnichenko
Konstantin Sergeyevich Gutnichenko is a Surgical Assistant in Fairfax, Virginia. Practices as a sole proprietor. Licensed in Virginia.
- Licensed in
- VA
- In the registry since
- 2023
Practice location Address checks out
12011 Lee Jackson Hwy Ste 501Fairfax, VA 22033-3315
Phone: (703) 259-7027
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgical Assistant (primary) | Taxonomy 246ZC0007X · Licence 0136000798 (VA) |
|---|
Record details
| NPI number | 1538847348 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 11, 2023 |
| Last updated in NPPES | July 11, 2023 |
| Certification date | July 11, 2023 |
| Mailing address | Po Box 221135, Chantilly, VA 20153-1135 |
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