Individual
DONNA YACTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
PVS - 1574 ST. RD. 502, SANTA FE, NM 87501
(505) 455-0801
(505) 455-3023
Mailing address
PO BOX 3468, POJOAQUE STATION, SANTA FE, NM 87501-0468
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2926
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
92556884
—
NM
Enumeration date
05/02/2007
Last updated
07/08/2007
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