Individual
TINA MARIE YANEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QP
Contact information
Practice address
1309 E 40TH ST, HIBBING, MN 55746-3609
(218) 262-6675
Mailing address
1309 E 40TH ST, HIBBING, MN 55746-3609
(218) 262-6675
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
MN
Other
Enumeration date
09/20/2019
Last updated
09/20/2019
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