Individual
JUNGJOO YI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10217 125TH STREET CT E, PUYALLUP, WA 98374-2761
(253) 864-4550
Mailing address
10217 125TH STREET CT E, PUYALLUP, WA 98374-2761
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP60493638
WA
363LG0600X
Gerontology Nurse Practitioner
Primary
AP60493638
WA
Other
Enumeration date
07/31/2014
Last updated
06/24/2021
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