LAVINA JETHANI

PUYALLUP, WA
NPI1467814475
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2081P0004X Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine
(Licence: WA  MD61281055)
Additional Taxonomies208100000X Physical Medicine & Rehabilitation
(Licence: TX  BP10069716)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2016-03-28
Last Update Date2022-07-21
Business Address
LAVINA JETHANI M.D.
401 15TH AVE SE
PUYALLUP, WA 98372-3715
Phone number: 253-697-3265
Mailing Address
LAVINA JETHANI M.D.
39 COUNTRY VIEW DR
FREEHOLD, NJ 07728-9019
Phone number: 732-625-0072