Individual
LENA MARIE YEATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
112 KUYKENDALL LN, MOOREFIELD, WV 26836-1167
(304) 530-7755
(304) 530-7756
Mailing address
112 KUYKENDALL LN, MOOREFIELD, WV 26836-1167
(304) 530-7755
(304) 530-7756
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
01375
WV
Other
Enumeration date
06/10/2006
Last updated
10/20/2010
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