Provider Demographics
NPI:1194453464
Name:YANG, STEPHANIE (KAI-TZU) (ND)
Entity type:Individual
Prefix:
First Name:STEPHANIE (KAI-TZU)
Middle Name:
Last Name:YANG
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5603 38TH AVE
Mailing Address - Street 2:
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98335-8218
Mailing Address - Country:US
Mailing Address - Phone:253-857-5544
Mailing Address - Fax:253-857-9088
Practice Address - Street 1:5603 38TH AVE
Practice Address - Street 2:
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98335-8218
Practice Address - Country:US
Practice Address - Phone:253-857-5544
Practice Address - Fax:253-857-9088
Is Sole Proprietor?:No
Enumeration Date:2022-08-12
Last Update Date:2023-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT.61423404175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath