Individual
YANA VISTOROVSKAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
551 E HAWTHORNE RD, SPOKANE, WA 99218-1417
(509) 489-2369
(509) 227-7070
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(866) 747-2455
(509) 227-7070
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA61117262
WA
Other
Enumeration date
09/10/2019
Last updated
11/08/2021
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