Individual
EVGENY V DEGODYUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1305 TACOMA AVE S STE 201, TACOMA, WA 98402-1903
(253) 396-5827
(253) 396-5825
Mailing address
1305 TACOMA AVE S STE 201, TACOMA, WA 98402-1903
(253) 396-5827
(253) 396-5825
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60477051
WA
Other
Enumeration date
11/23/2019
Last updated
11/23/2019
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