Individual
MISS ALEXA BROOKE YATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
962 PIPER RD, MANSFIELD, OH 44905-1354
(419) 632-0413
Mailing address
962 PIPER RD, MANSFIELD, OH 44905-1354
(419) 632-0413
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
400685551107
OH
Other
Enumeration date
07/09/2009
Last updated
07/09/2009
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