Individual
VERA PLUSCHAKOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 S GARDEN DR, LYNDEN, WA 98264-1022
(360) 656-6890
(360) 656-6890
Mailing address
201 S GARDEN DR, LYNDEN, WA 98264-1022
(360) 656-6890
(360) 656-6890
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
A750374
WA
Other
Enumeration date
12/30/2014
Last updated
12/30/2014
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