Individual
JAMIE SUE YATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462-1047
(570) 809-2635
Mailing address
240 12TH ST, NORTHUMBERLAND, PA 17857-1318
(570) 809-2635
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN106449L
PA
Other
Enumeration date
01/27/2010
Last updated
01/27/2010
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