Individual
LINDA LUCILE BJORK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CFM
Contact information
Practice address
21505 145TH ST E, BONNEY LAKE, WA 98391-7538
(360) 897-8398
(360) 897-8684
Mailing address
21505 145TH ST E, BONNEY LAKE, WA 98391-7538
(360) 897-8398
(360) 897-8684
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9047101
—
WA
Enumeration date
02/11/2008
Last updated
02/11/2008
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