Individual
VADA NADYNE DILLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
1737 WELLS ST., ENUMCLAW, WA 98022-3518
(360) 802-6999
Mailing address
1737 WELLS ST, ENUMCLAW, WA 98022-3518
(360) 802-6999
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00018774
WA
Other
Enumeration date
03/11/2009
Last updated
03/11/2009
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