Individual
MRS. SARA LYNN ETTL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.P.
Contact information
Practice address
2501 RACQUET LN, YAKIMA, WA 98902-6114
(509) 452-5155
(509) 452-5355
Mailing address
315 N 36TH AVE, YAKIMA, WA 98902-2227
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00011902
WA
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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