Individual
YENI DAYANARA OUGHTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2980 40TH AVE NE, TACOMA, WA 98422-2605
(253) 249-5062
Mailing address
2980 40TH AVE NE, TACOMA, WA 98422-2605
(253) 249-5062
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
MC15056
WA
Other
Enumeration date
08/04/2020
Last updated
08/04/2020
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