Individual
NICOLETTA LYNN YAZZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRT
Contact information
Practice address
167 NORTH MAIN STREET, TUBA CITY, AZ 86045-0600
(928) 283-2501
Mailing address
PO BOX 600, TUBA CITY, AZ 86045-0600
(928) 283-2501
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
011579
AZ
376K00000X
Nurse's Aide
CNA1000010052
AZ
Other
Enumeration date
11/09/2010
Last updated
07/28/2015
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