Provider Demographics
NPI:1689842981
Name:YU, YING (CN)
Entity Type:Individual
Prefix:MS
First Name:YING
Middle Name:
Last Name:YU
Suffix:
Gender:F
Credentials:CN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4709 STONE WAY N
Mailing Address - Street 2:APT. A
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103
Mailing Address - Country:US
Mailing Address - Phone:206-683-8753
Mailing Address - Fax:206-816-3423
Practice Address - Street 1:1904 3RD AVE
Practice Address - Street 2:SUITE 808
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98101-1126
Practice Address - Country:US
Practice Address - Phone:206-683-8753
Practice Address - Fax:206-816-3423
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-20
Last Update Date:2008-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANU00002071133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist