Vladislava Ivanova

NPI #1306398276 in Joint Base Lewis Mcchord, Washington

Provider Information

NPI Number
1306398276
Entity Type
Individual
Name
Vladislava Ivanova
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dietitian, Registered
Enumeration Date
Oct 26, 2016
Last Updated
Feb 12, 2019

Practice Location

Address
9040 JACKSON AVE
ZIP Code
98431-4504
Phone
(770) 841-4551

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered

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