Individual
TATYANA SHERESHEVSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2205 W LINCOLN AVE, YAKIMA, WA 98902-2437
(509) 469-6305
(509) 575-3395
Mailing address
2205 W LINCOLN AVE, YAKIMA, WA 98902-2437
(509) 469-6305
(509) 575-3398
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
51975-20
WI
207V00000X
Obstetrics & Gynecology Physician
Primary
MD61116194
WA
207VG0400X
Gynecology Physician
C136085
CA
207VX0000X
Obstetrics Physician
C136085
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
058957
—
CA
05
—
1609043835
—
CA
Enumeration date
05/16/2008
Last updated
06/09/2021
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