Individual
CHANELLE YAZZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
1601 N PARK DR, WINSLOW, AZ 86047-2559
(928) 289-4615
(928) 289-0634
Mailing address
HC 63 BOX 428, WINSLOW, AZ 86047-9421
(928) 589-7058
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
T023344
AZ
Other
Enumeration date
06/07/2013
Last updated
06/07/2013
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