VLADISLAVA IVANOVA

Dietitian, Registered

Active Individual
NPI: 1306398276

Practice Address

9040 JACKSON AVE
Joint Base Lewis Mcchord, WA 98431

Phone: (770) 841-4551

Specialties

Specialty Code Primary License
Dietitian, Registered 133V00000X Yes -

Frequently Asked Questions

NPI 1306398276 is the National Provider Identifier for VLADISLAVA IVANOVA, a Dietitian, Registered provider located in Joint Base Lewis Mcchord, WA. This NPI was enumerated on October 26, 2016.
VLADISLAVA IVANOVA practices at 9040 JACKSON AVE, Joint Base Lewis Mcchord, WA 98431.

Quick Facts

NPI
1306398276
Type
Individual
Enumerated
Oct 26, 2016
Last Updated
Feb 12, 2019

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