Individual
YELLO GOLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
330 MOSS ST, CHULA VISTA, CA 91911-2005
(619) 585-4221
Mailing address
330 MOSS ST, CHULA VISTA, CA 91911-2005
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
11/23/2021
Last updated
03/12/2023
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