Individual
DR. JENNICA YATSKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4105 WESTCOR CT, STE. #1, CORALVILLE, IA 52241
(319) 545-7090
Mailing address
435 PRAIRIE VIEW DR, FAIRFAX, IA 52228-9502
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20331
IA
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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