VLADISLAVA IVANOVA

JOINT BASE LEWIS MCCHORD, WA
NPI1306398276
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
Enumeration Date2016-10-26
Last Update Date2019-02-12
Business Address
VLADISLAVA IVANOVA
9040 JACKSON AVE
JOINT BASE LEWIS MCCHORD, WA 98431-4504
Phone number: 770-841-4551
Mailing Address
VLADISLAVA IVANOVA
3551 ROGER BROOKE DR
JBSA FT SAM HOUSTON, TX 78234-4504
Phone number:
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