Individual
SARA SUZANNE YEAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4197 VANGUARD DR, LOMPOC, CA 93436-1126
(805) 291-7548
Mailing address
4197 VANGUARD DR, LOMPOC, CA 93436-1126
(805) 291-7548
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-MKZRIP
CA
Other
Enumeration date
04/11/2024
Last updated
11/27/2024
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