Provider Demographics
NPI:1588826176
Name:VEA, YOLANDA LIGSAY (MD)
Entity Type:Individual
Prefix:DR
First Name:YOLANDA
Middle Name:LIGSAY
Last Name:VEA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1115 SE 164TH AVE.
Mailing Address - Street 2:DEPARMENT 358
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98683
Mailing Address - Country:US
Mailing Address - Phone:360-514-1854
Mailing Address - Fax:
Practice Address - Street 1:1115 SE 164TH AVE
Practice Address - Street 2:DEPARMENT 358
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98683-9324
Practice Address - Country:US
Practice Address - Phone:360-514-1854
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-26
Last Update Date:2016-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA081169002086S0129X
CAA821912086S0129X
WAMD604190272086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery