Provider Demographics
NPI:1124699376
Name:URIOSTEGUI, ABIGAIL
Entity type:Individual
Prefix:MRS
First Name:ABIGAIL
Middle Name:
Last Name:URIOSTEGUI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:670 HAMILTON DR
Mailing Address - Street 2:
Mailing Address - City:SUNNYSIDE
Mailing Address - State:WA
Mailing Address - Zip Code:98944-1926
Mailing Address - Country:US
Mailing Address - Phone:509-952-5078
Mailing Address - Fax:
Practice Address - Street 1:670 HAMILTON DR
Practice Address - Street 2:
Practice Address - City:SUNNYSIDE
Practice Address - State:WA
Practice Address - Zip Code:98944-1926
Practice Address - Country:US
Practice Address - Phone:509-952-5078
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-08
Last Update Date:2021-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC56491171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter