Individual
MINA KIRILOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16225 NE 87TH ST STE A6, REDMOND, WA 98052-3536
(425) 653-4960
Mailing address
6400 SOUTHCENTER BLVD, TUKWILA, WA 98188-2547
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/05/2017
Last updated
09/05/2017
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