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Individual

SWATHI YETHIPATHI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SP2220

Contact information

Practice address
1500 AVENUE H, ELY, NV 89301-2615
(775) 289-3001
Mailing address
4273 THE MASTERS DR STE A, FAIRFIELD, CA 94533-9512
(707) 599-4744

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP2220
NV
235Z00000X
Speech-Language Pathologist
SP25244
CA

Other

Enumeration date
11/27/2017
Last updated
11/27/2017
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