Individual
ANNA POLOVIN TABOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN, CNOR, RNFA
Contact information
Practice address
5633 N LIDGERWOOD ST, SPOKANE, WA 99208-1295
(509) 482-0111
Mailing address
7818 N OLD FORT DR, SPOKANE, WA 99208-3702
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
RN61176525
WA
Other
Enumeration date
02/19/2024
Last updated
02/19/2024
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