Individual
YAKOV KHESIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMP-C, NCTMB
Contact information
Practice address
1530 N 115TH ST STE 207, SEATTLE, WA 98133-8411
(206) 355-6781
(206) 523-1252
Mailing address
1530 N 115TH ST STE 207, SEATTLE, WA 98133-8411
(206) 355-6781
(206) 523-1252
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00010390
WA
Other
Enumeration date
02/04/2007
Last updated
07/08/2007
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