Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122400000X | Denturist | DENR.DN.60592834 | WA |
NPI | 1578008363 |
---|---|
Provider Name | Yu Ri Cho |
First Address | Tacoma, WA 98418-7836 |
Second Address | Tacoma, WA 98418-7836 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/01/2017 |
Last Update Date | 03/01/2017 |