Individual
TANIS A YOAKUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1001 S GEORGE ST, YORK, PA 17403-3676
(717) 851-2450
(717) 851-3469
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 851-2450
(717) 851-3469
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA054018
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1584421
GATEWAY-WMG
PA
01
—
2130919
HIGHMARK BLUE SHIELD-WMG
PA
Enumeration date
09/25/2009
Last updated
04/05/2017
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