Individual
DR. JYOTSANA WALIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
130 3RD ST NE, AUBURN, WA 98002-4013
(253) 833-3680
(253) 833-9581
Mailing address
130 3RD ST NE, AUBURN, WA 98002-4013
(253) 833-3680
(253) 833-9581
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21582
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1305606
—
WA
Enumeration date
10/06/2006
Last updated
07/08/2007
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