NPI 1376784900

Vada Nadyne Dillon, LMP

Practitioner Specialist Enumclaw, WA

Practice location

Address: 1737 Wells St., Enumclaw, WA 98022-3518
Phone: (360) 802-6999
Mailing address: 1737 Wells St, Enumclaw, WA 98022-3518

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence MA00018774 (WA)

Other Specialist providers in Washington →

Registry record

NPI: 1376784900
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Mar 2009
Record last updated: 11 Mar 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.