Individual provider · Type 1 NPI
Sergey Dmitriyevich Kustov, PharmD
Student in an Organized Health Care Education/Training Program · Tujunga, CA
NPI number
1720690290
Active
Practice location
10905 Deliban St
Tujunga, CA 91042-1451
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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About NPI 1720690290
Sergey Dmitriyevich Kustov, PharmD's National Provider Identifier is 1720690290, issued on Aug 17, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tujunga, CA. The record was last updated on Aug 17, 2020.