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Individual

ZHANNA GUDZYUK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2748 MILTON WAY STE 101, MILTON, WA 98354-9379
(253) 922-5262
(253) 922-5299
Mailing address
2748 MILTON WAY STE 101, MILTON, WA 98354-9379
(253) 922-5262
(253) 922-5299

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
3327301
NY
363LF0000X
Family Nurse Practitioner
Primary
AP30007513
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0216812
STATE L&I
WA
Enumeration date
05/12/2006
Last updated
04/26/2011
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