Individual
LIDIA FEDIOUNINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
342 FAIRVIEW STREET, SILVERTON, OR 97381-1917
(503) 873-1500
Mailing address
12216 DOUBLE EAGLE DR, MUKILTEO, WA 98275-5561
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
02/02/2016
Last updated
02/02/2016
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