Individual provider · NPI-1
Ina Apanasevich, Denturist
Denturist · Puyallup, WA
NPI number1841644119
StatusActive
Last updated in NPPESApr 22, 2016
Details
- NPI
- 1841644119
- Entity type
- Individual (NPI-1)
- Name
- Ina Apanasevich
- Credential
- Denturist
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 22, 2016
- Last updated
- Apr 22, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122400000X | Denturist | DN 60543708 | WA | Yes |
Practice location
9205 150th Street Ct EPuyallup, WA 98375-6963
Phone 253-314-1288
Mailing address
9205 150th Street Ct EPuyallup, WA 98375-6963
Phone 253-314-1288
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