Individual
MS. YOLANDA YVONNE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1918 W ROBBINS ST, TYLER, TX 75701-1235
(903) 262-8577
Mailing address
1918 W ROBBINS ST, TYLER, TX 75701-1235
(903) 262-8577
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/14/2010
Last updated
04/14/2010
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