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Contact Information

YESSICA Y GAXIOLA
17425 WA-99 SUITE D
LYNNWOOD, WA98037
 Phone: 425-329-7259
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental Assistant

126800000X
Indicates primary specialty

NPI Profile & details for YESSICA Y GAXIOLA · (Female)

NPI Number 1831680974
Status Active
Credentials
Entity Individual
Enumeration date 05/24/2018
Last updated 05/24/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • WA License # GAXIOYY049OJ
  • WA Medicaid GAXIOYY049OJ
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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