Individual
MR. CALEB JINKYU YI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
721 FAWCETT AVE, TACOMA, WA 98402-5502
(253) 341-9771
Mailing address
721 FAWCETT AVE, TACOMA, WA 98402-5502
(253) 341-9771
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/13/2019
Last updated
02/13/2019
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