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Jana Dvorak, LMP

Specialist in Bothell, WA. Individual provider (NPI-1).

NPI number1770801243
StatusActive
Last updated in NPPESMay 9, 2010

Details

NPI
1770801243
Entity type
Individual (NPI-1)
Name
Jana Dvorak
Credential
LMP
Sex
Female
Sole proprietor
Yes
Enumeration date
May 9, 2010
Last updated
May 9, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
174400000X Specialist––Yes

Practice location

19823 10th Dr Se
Bothell, WA 98012-7701

Phone 425-487-2491

Mailing address

19823 10th Dr Se
Bothell, WA 98012-7701

Phone 425-487-2491

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