Individual
GRAYSON EDWARD YATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
STUDENT
Contact information
Practice address
1818 PAT DR, SAINT JOSEPH, MO 64506-3213
(615) 743-5850
Mailing address
1818 PAT DR, SAINT JOSEPH, MO 64506-3213
(615) 743-5850
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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