Individual
MRS. YULYA KORNIYCHUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
18308 101ST ST E, BONNEY LAKE, WA 98391-8154
(253) 347-5531
Mailing address
18308 101ST ST E, BONNEY LAKE, WA 98391-8154
(253) 347-5531
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
MA60172757
WA
Other
Enumeration date
10/06/2010
Last updated
10/06/2010
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