Individual
JERICHO YATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDN
Contact information
Practice address
1901 VETERANS MEMORIAL DR, TEMPLE, TX 76504-7451
(615) 203-9624
Mailing address
4636 LEBANON PIKE # 149, HERMITAGE, TN 37076-1316
(615) 203-9624
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
06/17/2020
Last updated
06/17/2020
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