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Organization

YAKIMA VALLEY PROFESSIONAL SERVICES, PC

Active
Other names
Family Medicine of Yakima Laboratory
Organization subpart
No

Provider details

NPI number
Authorized official
CAROLINE GEORGE (DIRECTOR OF FINANCE)
(509) 248-7849
Entity
Organization

Contact information

Practice address
504 N 40TH AVE, YAKIMA, WA 98908-4311
(509) 966-9480
(509) 966-3283
Mailing address
PO BOX 2947, YAKIMA, WA 98907-2947
(509) 248-7849
(509) 249-5042

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7137383
WA
Enumeration date
11/13/2007
Last updated
11/13/2007
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