Individual
JACQUELYN NICOL VICTOROFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
101 W 8TH AVE, SPOKANE, WA 99204
(509) 474-3260
(509) 227-7070
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(509) 474-3260
(509) 227-7070
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD60870345
WA
208M00000X
Hospitalist Physician
MD60870345
WA
Other
Enumeration date
04/25/2015
Last updated
04/28/2021
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