Individual
EMMA BOBROVNIKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24040 BOTHELL EVERETT HWY, BOTHELL, WA 98021-9342
(425) 482-2829
Mailing address
24040 BOTHELL EVERETT HWY, BOTHELL, WA 98021-9342
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
IR60512455
WA
Other
Enumeration date
11/23/2015
Last updated
11/23/2015
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