Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2081P2900X | Pain Medicine | MD00041323 | WA |
NPI | 1184660029 |
---|---|
Provider Name | Dr. Jean You |
First Address | Kennewick, WA 99336-7178 |
Second Address | Kennewick, WA 99336-7178 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2006 |
Last Update Date | 28/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1116482 | (05) | WA |
H69772 | (02) | WA |