Individual
OLENA O DOLZHENKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2410 194TH AVE SW, LAKEBAY, WA 98349-9490
(253) 293-8730
Mailing address
2410 194TH AVE SW, LAKEBAY, WA 98349-9490
(253) 293-8730
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
605443295
WA
Other
Enumeration date
05/14/2024
Last updated
05/14/2024
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