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
- State
- Washington
- ZIP Code
- 98431-4504
- Phone
- (770) 841-4551
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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