Individual
ALEXANDER B AMIRDZHANOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4007 S 168TH ST, SEATAC, WA 98188-3161
(206) 235-0781
Mailing address
4007 S 168TH ST, SEATAC, WA 98188-3161
(206) 235-0781
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
MC10871
WA
Other
Enumeration date
03/03/2021
Last updated
03/03/2021
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