Individual
ANDY NOVAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MLT
Contact information
Practice address
230 E MAIN ST, GOLDENDALE, WA 98620-9015
(509) 250-2710
Mailing address
230 E MAIN ST, GOLDENDALE, WA 98620-9015
(509) 250-2710
Taxonomy
Speciality
Code
Description
License number
State
246RM2200X
Medical Laboratory Technician
Primary
—
—
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
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