Individual
DEBORAH NORDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NAC
Contact information
Practice address
203 S 77TH AVE, YAKIMA, WA 98908-1513
(509) 966-1075
Mailing address
203 S 77TH AVE, YAKIMA, WA 98908-1513
(509) 966-1075
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
729500
WA
Other
Enumeration date
07/01/2019
Last updated
07/01/2019
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