Individual
YAHWEH Y YAHWEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
301 N 11TH AVE, HUMBOLDT, TN 38343-2837
(731) 420-3761
Mailing address
301 N 11TH AVE, HUMBOLDT, TN 38343-2837
(731) 420-3761
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
78344
TN
Other
Enumeration date
10/24/2025
Last updated
10/24/2025
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