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Individual

ANN M YAKSHAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-6600
Mailing address
1100 OLIVE WAY MSC M4-PA, SEATTLE, WA 98101-1873
(206) 515-5811

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI00001205
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0039581
LABOR AND INDUSTRIES #
WA
01
7782YA
BLUE SHIELD #
WA
05
8290827
WA
01
US2352465
AETNA SPECIALIST PIN
WA
Enumeration date
01/15/2007
Last updated
04/08/2008
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