Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | MD00041031 | WA |
N | 2080P0210X | Pediatric Nephrologist | MD00041031 | WA |
NPI | 1437195815 |
---|---|
Provider Name | Dr. Karyn Yonekawa |
First Address | Tacoma, WA 98415-0299 |
Second Address | Tacoma, WA 98405-3720 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2006 |
Last Update Date | 08/07/2007 |