Individual
ALLA POLYAKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7029 NE FAIRWAY AVE, VANCOUVER, WA 98662-3690
(360) 524-5653
(360) 314-2674
Mailing address
7029 NE FAIRWAY AVE, VANCOUVER, WA 98662
(360) 524-5653
(360) 314-2674
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00141251
WA
Other
Enumeration date
05/15/2013
Last updated
05/15/2013
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