Gaxiola, Yessica Yasmin

Gaxiola, Yessica Yasmin is an individual health care provider with primary practice located at 17425 Wa-99 Suite D , Lynnwood WA 98037. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Gaxiola, Yessica Yasmin can be contacted via phone (425) 329-7259.

Contact Information

Primary practice address
17425 Wa-99 Suite D Lynnwood WA 98037
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X GAXIOYY049OJ Washington

Profile Details

NPI number 1831680974
LBN Legal business name Gaxiola, Yessica Yasmin
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2018
Last updated May 24th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831680974 NPPES
Washington MEDICAID GAXIOYY049OJ

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