Individual
YOLANDA ABEN BANTOLINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PA
Contact information
Practice address
325 9TH AVE, MAILBOX 359777, SEATTLE, WA 98104-2420
(206) 744-3590
(206) 744-8781
Mailing address
2209 S MEAD ST, SEATTLE, WA 98108-2981
(206) 744-2446
(206) 744-8781
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10001546
WA
Other
Enumeration date
11/14/2006
Last updated
05/11/2011
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