Audrey M.k. Yan

NPI #1528114394 in Kent, Washington

Provider Information

NPI Number: 1528114394
Entity Type: Organization
Organization Name: Audrey M.k. Yan
Primary Specialty: Specialist
Enumeration Date: Jan 26, 2007
Last Updated: Jun 26, 2008

Practice Location

Address: 24604 104TH AVE SE # 203
City: Kent
State: Washington
ZIP Code: 98030-4965
Phone: (253) 859-2373

Authorized Official

Name: AUDREY M.K. YAN, LMP
Title: OWNER
Phone: (253) 854-1823

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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