Individual
IVAN SOBOVOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
11412 NE 50TH AVE, VANCOUVER, WA 98686-4418
(360) 721-4303
Mailing address
11412 NE 50TH AVE, VANCOUVER, WA 98686-4418
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60697833
WA
Other
Enumeration date
01/26/2021
Last updated
01/26/2021
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