Organization
YAKIMA VALLEY DERMATOLOGY INC PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLE VIOLETTE BSB/ACC, CPC (CLINIC MANAGER)
(509) 965-1714
Entity
Organization
Contact information
Practice address
3911 CASTLEVALE RD STE 301, YAKIMA, WA 98902-7807
(509) 966-7899
(509) 965-1714
Mailing address
3911 CASTLEVALE RD STE 301, YAKIMA, WA 98902-7807
(509) 966-7899
(509) 965-1714
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
—
—
Other
Enumeration date
10/09/2007
Last updated
05/02/2019
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