Individual
AMBER NICHOLE DVORAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.P.
Contact information
Practice address
725 N STANLEY ST, STE. C, MEDICAL LAKE, WA 99022-8939
(509) 299-6900
Mailing address
725 N STANLEY ST, STE. C, MEDICAL LAKE, WA 99022-8939
(509) 299-6900
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
06/29/2010
Last updated
06/29/2010
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