Individual
MARY BETH YOCOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
12033 AGENCY RD, PARKER, AZ 85344-7718
(574) 339-2974
Mailing address
1226 S DONINGTON CT, BLOOMINGTON, IN 47401-8840
(574) 339-2974
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28160940A
IN
Other
Enumeration date
06/23/2008
Last updated
06/23/2008
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