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Individual

YESENIA TYLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3637 VENTURA AVE, IDAHO FALLS, ID 83401-1561
(323) 787-3436
Mailing address
3637 VENTURA AVE, IDAHO FALLS, ID 83401-1561
(323) 787-3436

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
10/24/2022
Last updated
10/24/2022
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Product
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