Individual
MR. GERALD LEE YAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
900 KIELY BLVD, SANTA CLARA, CA 95051-5329
(408) 236-4232
Mailing address
2376 WESTPARK DR, SAN JOSE, CA 95124-1148
(408) 236-4232
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0033806
CA
Other
Enumeration date
12/26/2006
Last updated
07/08/2007
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