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Individual

SAVUOL NGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
10425 NE 8TH ST, BELLEVUE, WA 98004-4346
(503) 684-8252
Mailing address
1230 164TH ST SE APT A105, MILL CREEK, WA 98012-1239
(267) 542-1733

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
SP013212
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61076806
WA

Other

Enumeration date
09/26/2013
Last updated
02/08/2021
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