Individual
YANIEL ENRIQUE PABON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
163 VETERANS DR, WHITE RIVER JUNCTION, VT 05009-0001
(802) 295-9363
(802) 291-6289
Mailing address
215 N MAIN ST, WHITE RIVER JUNCTION, VT 05009-0001
(802) 295-9363
(802) 291-6289
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
075791
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
075791
RN LICENSE NUMBER
PR
Enumeration date
06/24/2015
Last updated
06/24/2015
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