Individual
MIATTA ROBERTS YEANAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
712 FRANCIS RD, GLEN ALLEN, VA 23059-4523
(804) 665-5230
Mailing address
712 FRANCIS RD, GLEN ALLEN, VA 23059-4523
(804) 665-5230
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0704014058
VA
Other
Enumeration date
01/18/2022
Last updated
01/18/2022
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