Individual
MONGOLI YANG MOUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
12305 NE 102ND ST, VANCOUVER, WA 98682-1990
(503) 475-2763
Mailing address
12305 NE 102ND ST, VANCOUVER, WA 98682-1990
(503) 475-2763
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60507297
WA
Other
Enumeration date
03/23/2017
Last updated
03/31/2020
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