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Individual

VESNA JAMBORCIC

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
510 W 1ST AVE, TOPPENISH, WA 98948-1564
(509) 865-5600
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(425) 493-6001
(425) 493-6030

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
11075
NV
207R00000X
Internal Medicine Physician
Primary
MD60593180
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100503747
NV
05
2050126
WA
Enumeration date
02/01/2006
Last updated
07/13/2023
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