Individual
MS. SU YEON YU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4800 COLLEGE ST SE, LACEY, WA 98503-4389
(360) 413-4250
Mailing address
PO BOX 3360, PORTLAND, OR 97208-3360
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP61159886
WA
Other
Enumeration date
06/18/2021
Last updated
02/15/2023
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