Individual
SHEILA IVANOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
103 PALOUSE ST STE 15, WENATCHEE, WA 98801-2251
(509) 393-1878
Mailing address
1643 LOWER MONITOR RD, WENATCHEE, WA 98801-9029
(509) 421-1063
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC61035529
WA
Other
Enumeration date
03/27/2020
Last updated
03/27/2020
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