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Individual

VICTORIA V EVAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
11228 NE 97TH AVE, VANCOUVER, WA 98662-1587
(360) 773-7192
Mailing address
11228 NE 97TH AVE, VANCOUVER, WA 98662-1587
(360) 773-7192

Taxonomy

Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
MC18592
WA

Other

Enumeration date
03/06/2023
Last updated
03/06/2023
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