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Individual
MRS. LISA WEATHERFORD YASCAVAGE
Active
Individual
MRS. LISA WEATHERFORD YASCAVAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
R38395
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163WA2000X
—
SC
Enumeration date
12/11/2013
Last updated
12/11/2013
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