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Individual

DR. ILONA BARLAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
2001 152ND AVE NE, REDMOND, WA 98052-5521
(425) 643-8901
(425) 643-8901
Mailing address
2001 152ND AVE NE, REDMOND, WA 98052-5521
(425) 643-8901
(425) 643-8902

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO00000799
WA
213ES0103X
Foot & Ankle Surgery Podiatrist
PO00000799
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1123496
WA
Enumeration date
08/30/2006
Last updated
05/01/2012
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