Search › Washington › 101YM0800X
Deotila Takulyabwani
NPI 1760286793 · on the registry since 2025 · sole proprietor
Practice
- Address
- 4570 Avery Ln Se
Lacey, WA 98503 - Phone
- (360) 464-7935
- Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-04-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington