Individual
GARYOUNG DWORNICZEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
614 DIVISION ST, PORT ORCHARD, WA 98366-4614
(360) 337-7205
Mailing address
614 DIVISION ST, PORT ORCHARD, WA 98366-4614
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP61514275
WA
Other
Enumeration date
07/18/2025
Last updated
03/11/2026
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