Individual
OKSANA FJODOROVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1455 101ST AVE SE, LAKE STEVENS, WA 98258-1660
(425) 435-4377
Mailing address
1455 101ST AVE SE, LAKE STEVENS, WA 98258-1660
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60491325
WA
Other
Enumeration date
11/12/2019
Last updated
11/12/2019
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