Individual
MARINA ZAKHAROVA JANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1802 YAKIMA AVE STE 307, TACOMA, WA 98405-5305
(253) 627-1244
Mailing address
1802 YAKIMA AVE STE 307, TACOMA, WA 98405-5305
(253) 627-1244
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD60722837
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2076945
—
WA
01
—
376074
STATE L&I
WA
Enumeration date
05/31/2011
Last updated
12/04/2020
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