Individual
MRS. PRANA LUISA YENKOSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MMS, PA-C
Contact information
Practice address
751 S WEIR CANYON RD STE 165, ANAHEIM, CA 92808-1962
(714) 831-5796
Mailing address
2621 GREEN RIVER RD STE 105-315, CORONA, CA 92882-7433
(818) 378-7144
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
54370
CA
Other
Enumeration date
05/17/2017
Last updated
01/06/2020
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