Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156F00000X | Technician/Technologist |
NPI | 1265900674 |
---|---|
Provider Name | Dawn Yvette Norbisrath |
First Address | Port Angeles, WA 98362-6129 |
Second Address | Port Angeles, WA 98362-6129 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/11/2018 |
Last Update Date | 05/11/2018 |