Individual
MARYAM MOSTAGHNI YAZDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4901 108TH ST SW, LAKEWOOD, WA 98499-3724
(253) 589-6484
(253) 984-1079
Mailing address
PO BOX 98745, LAKEWOOD, WA 98496-8745
(253) 598-6484
(253) 984-1079
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN00163566
WA
Other
Enumeration date
08/08/2012
Last updated
10/21/2021
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