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Michelle Fodczuk
NPI 1417642562 · on the registry since 2023 · sole proprietor
Practice
- Address
- 4926 N Island Dr E
Bonney Lake, WA 98391 - Phone
- (425) 365-6968
- Fax
- (425) 386-5065
Registry record
- Primary taxonomy
- 163WC0400X
163WC0400X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-04-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington