Individual
YVETTE DARLENE CLATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8159 MARYDEAN AVE, FORT WORTH, TX 76116-3610
(682) 465-2260
Mailing address
8159 MARYDEAN AVE, FORT WORTH, TX 76116-3610
(682) 465-2260
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
11/21/2010
Last updated
08/09/2011
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