Individual
MELISSA ANN YACKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
100 E GRAND BLVD, NAPAVINE, WA 98565
(360) 560-7362
Mailing address
PO BOX 1304, NAPAVINE, WA 98565-1304
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60227487
WA
Other
Enumeration date
11/30/2017
Last updated
11/30/2017
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