Individual
MRS. SHALENE CYNETTA YAZZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
394.3 US-160, KAYENTA, AZ 86033
(928) 697-4000
Mailing address
PO BOX 368, KAYENTA, AZ 86033-0368
(928) 697-4112
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8155
AZ
Other
Enumeration date
05/20/2019
Last updated
08/12/2021
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