Individual
JASMINE YELLOW OWL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
511 S ELM ST, TOPPENISH, WA 98948-1651
(509) 865-5121
Mailing address
PO BOX 151, TOPPENISH, WA 98948-0151
(509) 865-5121
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
WA
Other
Enumeration date
02/24/2023
Last updated
03/14/2023
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