Individual
ELVIRA V KADYROVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1450 NORTHWEST LN SE STE A, LACEY, WA 98503-6908
(360) 491-4460
(360) 491-3090
Mailing address
PO BOX 3360, PORTLAND, OR 97208-3360
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD60400832
WA
Other
Enumeration date
07/21/2011
Last updated
02/15/2023
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