Individual
ALEXIS MARIE KIRILOVETS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3436 MARY ELDER RD NE, OLYMPIA, WA 98506-5050
(360) 528-2590
Mailing address
3436 MARY ELDER RD NE, OLYMPIA, WA 98506-5050
(360) 528-2590
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP61217384
WA
Other
Enumeration date
01/20/2022
Last updated
01/20/2022
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