Individual
DR. SANDRA MONTANO YAMAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7424 BRIDGEPORT WAY WEST, SUITE 103, LAKEWOOD, WA 98499-8137
(253) 581-2111
(253) 581-2712
Mailing address
7424 BRIDGEPORT WAY WEST, SUITE 103, LAKEWOOD, WA 98499-8137
(253) 581-2111
(253) 581-2712
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD60025230
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8521940
—
WA
Enumeration date
12/04/2006
Last updated
09/05/2013
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