Individual
SALLY J. YATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, PHN
Contact information
Practice address
2665 DUTTON MDW, SANTA ROSA, CA 95407-7730
(707) 541-3715
Mailing address
PO BOX 192, CAZADERO, CA 95421-0192
(707) 694-2509
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
534105
CA
Other
Enumeration date
08/26/2025
Last updated
08/26/2025
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