Individual
CARLY MIKELA INGALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3003 TIETON DR STE 230, YAKIMA, WA 98902-3684
(509) 248-3440
(509) 249-4460
Mailing address
3800 SUMMITVIEW AVE, YAKIMA, WA 98902-2715
(509) 248-7849
(509) 248-8291
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD60666853
WA
Other
Enumeration date
03/25/2012
Last updated
04/08/2019
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