Individual
GENET YADETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
631 STRANDER BLVD STE A, TUKWILA, WA 98188-2963
(253) 850-2500
Mailing address
631 STRANDER BLVD STE A, TUKWILA, WA 98188-2963
(253) 850-2500
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/25/2022
Last updated
01/25/2022
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