Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | OP00001594 | WA |
NPI | 1447399167 |
---|---|
Provider Name | Dr. Valerie Victoria Bates Romanski |
First Address | Maple Valley, WA 98038-6405 |
Second Address | Maple Valley, WA 98038-6405 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/02/2007 |
Last Update Date | 08/07/2007 |