Individual
MR. JARED D YATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
506 S PROVIDENCE RD APT 4, COLUMBIA, MO 65203-4246
(816) 468-3933
Mailing address
506 S PROVIDENCE RD APT 4, COLUMBIA, MO 65203-4246
(816) 468-3933
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MO
Other
Enumeration date
02/07/2020
Last updated
02/07/2020
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