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Individual

DR. DAIVA NEVIDOMSKYTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1802 YAKIMA AVE STE 204, TACOMA, WA 98405-5304
(253) 382-8540
(253) 382-8545
Mailing address
1802 YAKIMA AVE STE 204, TACOMA, WA 98405-5304
(253) 382-8540
(253) 382-8545

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
MD60804832
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2018866
WA
Enumeration date
04/14/2011
Last updated
11/22/2021
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