Individual
LATASHA KIKI YAZZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EMT BASIC
Contact information
Practice address
HWY 160 M.P 394.3, KAYENTA, AZ 86033
(928) 697-4000
Mailing address
PO BOX 7696, SHONTO, AZ 86054-7696
(928) 707-9558
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
E98538870
AZ
Other
Enumeration date
11/25/2020
Last updated
11/25/2020
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