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Ivan West
NPI 1720481948 · on the registry since 2014 · sole proprietor
Practice
- Address
- 175 Cider Run
Magnolia, DE 19962 - Phone
- (302) 233-8622
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- DE
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-10-01
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 Delaware