Organization
YAZDI PRIMARY HEALTHCARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARYAM MOSTAGHNI YAZDI ARNP (MEMBER)
(360) 981-9705
Entity
Organization
Contact information
Practice address
4901 108TH ST SW, LAKEWOOD, WA 98499-3724
(253) 589-6484
(253) 984-1079
Mailing address
PO BOX 98886, LAKEWOOD, WA 98496-8886
(253) 589-6484
(253) 984-1079
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60308453
WA
Other
Enumeration date
01/31/2014
Last updated
10/21/2021
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