Individual
MRS. IRINA V. FEWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7918 N 9TH PL, TACOMA, WA 98406-1091
(253) 460-7289
Mailing address
7918 N 9TH PL, TACOMA, WA 98406-1091
(253) 460-7289
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
MC12476
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MC12476
DEPARTMENT OF SOCIAL AND HEALTH SERVICES
WA
Enumeration date
01/21/2010
Last updated
01/21/2010
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