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Individual

LILIA YAMASHITA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
640 JACKSON ST, SAINT PAUL, MN 55101-2502
(651) 254-6512
Mailing address
955 GARDEN DR, HIGHLANDS RANCH, CO 80126-3088
(303) 681-8497

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.1643005
CO
367500000X
Certified Registered Nurse Anesthetist
Primary
2991
MN

Other

Enumeration date
06/28/2021
Last updated
09/05/2024
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