Individual
EDUARD REVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12605 E GIBSON RD UNIT 87, EVERETT, WA 98204-8601
(425) 232-9956
Mailing address
15208 48TH DR SE, EVERETT, WA 98208-8821
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
02/01/2022
Last updated
02/01/2022
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