Individual
JERUSHA YATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7701 W SAINT JOHN RD, APT 1003, GLENDALE, AZ 85308-8608
(480) 765-4907
Mailing address
7701 W SAINT JOHN RD, APT 1003, GLENDALE, AZ 85308-8608
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/16/2016
Last updated
08/16/2016
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