Individual
LYUDMILA DATSKAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMA
Contact information
Practice address
4526 FEDERAL AVE, EVERETT, WA 98203-2132
(425) 349-6200
Mailing address
4526 FEDERAL AVE, EVERETT, WA 98203-2132
(425) 349-6200
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
CM60396222
WA
Other
Enumeration date
04/02/2020
Last updated
04/15/2020
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