Individual
ALEXANDRA MARTA MODZELEWSKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1051 SW ELLIS ST, DALLAS, OR 97338-2227
(808) 779-2304
Mailing address
1051 SW ELLIS ST, DALLAS, OR 97338-2227
(808) 779-2304
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN61582758
WA
Other
Enumeration date
08/22/2024
Last updated
08/22/2024
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