Individual
VICKI GRACE YACKEYONNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RMA
Contact information
Practice address
4913 W RENO AVE, OKLAHOMA CITY, OK 73127-6339
(405) 948-4900
(405) 948-4934
Mailing address
4913 W RENO AVE, OKLAHOMA CITY, OK 73127-6339
(405) 948-4900
(405) 948-4934
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
246RP1900X
Phlebotomy Technician
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
05/19/2008
Last updated
04/05/2011
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