Individual
CAROL YAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
80495 US HIGHWAY 111, INDIO, CA 92201-6534
(760) 347-2887
Mailing address
80495 US HIGHWAY 111, INDIO, CA 92201-6534
(760) 347-2887
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA11342
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PA11342
—
CA
Enumeration date
03/05/2007
Last updated
07/08/2007
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