Individual
MRS. YELENA V GOLUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1608 S J ST FL 5, TACOMA, WA 98405-4930
(253) 274-7505
Mailing address
1519 3RD ST SE, STE 101, PUYALLUP, WA 98372-3742
(253) 841-8939
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA60708780
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
371238
STATE L&I
WA
Enumeration date
03/10/2015
Last updated
06/26/2019
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