MS. Mandisa West, CDPT

NPI #1023596749 in Yakima, Washington

Provider Information

NPI Number: 1023596749
Entity Type: Individual
Name: MS. Mandisa West, CDPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: CDPT
Enumeration Date: Aug 3, 2018
Last Updated: Aug 3, 2018

Practice Location

Address: 2280 STATE ROUTE 821
City: Yakima
State: Washington
ZIP Code: 98901-8302
Phone: (509) 457-0990

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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