Individual
ALEKSANDRA S VELYCHKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EFDA
Contact information
Practice address
14406 NE 20TH AVE, VANCOUVER, WA 98686-1448
(360) 571-3149
Mailing address
6817 NE 134TH ST, VANCOUVER, WA 98686-2958
(503) 884-1526
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
126800000X
WA
Other
Enumeration date
10/31/2019
Last updated
10/31/2019
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