Individual
RAVEN SYWAUN YATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5525 ROSS RD APT 1134, DEL VALLE, TX 78617-2070
(213) 266-1685
Mailing address
5525 ROSS RD APT 1134, DEL VALLE, TX 78617-2070
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
06/29/2026
Last updated
06/29/2026
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