Individual
ELIJAH RICARDO YEPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1800 N BROAD ST, PHILADELPHIA, PA 19121-3302
(215) 204-1278
Mailing address
1629 W GIRARD AVE APT 4E, PHILADELPHIA, PA 19130-1762
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT008397
PA
Other
Enumeration date
04/23/2026
Last updated
04/23/2026
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