Individual
SETH ERIC KOIVISTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 UNIVERSITY PKWY, YAKIMA, WA 98901-9539
(253) 226-8462
Mailing address
200 UNIVERSITY PKWY, YAKIMA, WA 98901-9539
(253) 226-8462
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/19/2024
Last updated
12/19/2024
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