Individual
MRS. BRENDA A LAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
4202 SUMMITVIEW AVE, YAKIMA, WA 98908-2928
(509) 952-8122
Mailing address
563 SHEETS RD, YAKIMA, WA 98901-9309
(509) 952-8122
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA6013778
WA
Other
Enumeration date
10/29/2010
Last updated
10/29/2010
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