Individual
ANDREA JENAE YAKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC SLP
Contact information
Practice address
1430 TRUXTUN AVE FL 5, BAKERSFIELD, CA 93301-5243
(661) 662-6306
Mailing address
1430 TRUXTUN AVE FL 5, BAKERSFIELD, CA 93301-5243
(661) 662-6306
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
21603
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21603
SELF EMPLOYED
CA
Enumeration date
05/08/2019
Last updated
05/08/2019
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