Individual
JANA DVORAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
19823 10TH DR SE, BOTHELL, WA 98012-7701
(425) 487-2491
Mailing address
19823 10TH DR SE, BOTHELL, WA 98012-7701
(425) 487-2491
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/09/2010
Last updated
05/09/2010
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