Individual
SHENA ALISA KRAVITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9040 JACKSON AVE, JOINT BASE LEWIS MCCHORD, WA 98431-0004
(253) 968-2252
Mailing address
9040 JACKSON AVE, JOINT BASE LEWIS MCCHORD, WA 98431-0001
(253) 968-2252
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0101273115
VA
Other
Enumeration date
03/25/2020
Last updated
07/18/2024
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