Individual
MRS. JOSEPHINE VIRGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CM 60705971
Contact information
Practice address
3300 ROOSEVELT AVE, YAKIMA, WA 98902-6344
(509) 571-1455
(509) 469-9285
Mailing address
3300 ROOSEVELT AVE, YAKIMA, WA 98902-6344
(509) 571-1455
(509) 469-9285
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
91-0755984
—
WA
Enumeration date
10/26/2018
Last updated
10/26/2018
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