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Individual

VIVIAN MAE YU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
104 27TH AVE SE, PUYALLUP, WA 98374-1145
(253) 770-9000
(253) 770-9712
Mailing address
PO BOX 1205, PUYALLUP, WA 98371-0231
(253) 770-9000
(253) 770-9712

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
14445
NH
207Y00000X
Otolaryngology Physician
17533
MN
207Y00000X
Otolaryngology Physician
239449
MA
207Y00000X
Otolaryngology Physician
Primary
MD60257147
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110082780A
MA
05
30208800
NH
Enumeration date
02/17/2007
Last updated
10/20/2015
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