Individual
HAILEY NICOLE YANEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AT, LAT, ATC
Contact information
Practice address
5199 N 7TH AVE, PHOENIX, AZ 85013-2233
(602) 230-1600
Mailing address
7402 W AURORA DR, GLENDALE, AZ 85308-9615
(623) 889-1814
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATTL-000106
AZ
Other
Enumeration date
07/23/2019
Last updated
07/23/2019
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