Individual
JANE M NOSAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4004 COLBY AVE, EVERETT, WA 98201-6203
(425) 259-0966
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(425) 304-8431
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD00033265
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003683
—
WA
Enumeration date
04/21/2006
Last updated
12/13/2012
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