Individual
GLENDA M. YETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
5957 W RAMSEY ST, BANNING, CA 92220-3058
(951) 845-0313
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 579-3203
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5357
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ14571Z
—
CA
Enumeration date
06/07/2006
Last updated
01/16/2026
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