Individual
MS. DEANDRA DENISE YATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4522 RADNOR RD, INDIANAPOLIS, IN 46226-2152
(317) 414-6997
Mailing address
4522 RADNOR RD, INDIANAPOLIS, IN 46226-2152
(317) 414-6997
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
IN
Other
Enumeration date
04/21/2022
Last updated
04/21/2022
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