Basic Information
| Provider Information | |||||||||
| NPI: | 1588826176 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | VEA | ||||||||
| FirstName: | YOLANDA | ||||||||
| MiddleName: | LIGSAY | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1115 SE 164TH AVE. | ||||||||
| Address2: | DEPARMENT 358 | ||||||||
| City: | VANCOUVER | ||||||||
| State: | WA | ||||||||
| PostalCode: | 98683 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3605141854 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1115 SE 164TH AVE | ||||||||
| Address2: | DEPARMENT 358 | ||||||||
| City: | VANCOUVER | ||||||||
| State: | WA | ||||||||
| PostalCode: | 986839324 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3605141854 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/26/2008 | ||||||||
| LastUpdateDate: | 03/21/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2086S0129X | 25MA08116900 | NJ | N | Allopathic & Osteopathic Physicians | Surgery | Vascular Surgery | 2086S0129X | A82191 | CA | N | Allopathic & Osteopathic Physicians | Surgery | Vascular Surgery | 2086S0129X | MD60419027 | WA | Y | Allopathic & Osteopathic Physicians | Surgery | Vascular Surgery |
No ID Information.