Individual
YESENIA ELIZABETH BERROTERAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
142 N 9TH ST, FORT DODGE, IA 50501-3911
(515) 293-5620
Mailing address
312 S 17TH ST, FORT DODGE, IA 50501-5055
(510) 965-5033
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/01/2024
Last updated
10/01/2024
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