Individual
JESSICA YANES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICENSED MIDWIFE
Contact information
Practice address
10162 CUTTY SARK DR, HUNTINGTON BEACH, CA 92646-4304
(512) 956-1672
Mailing address
10162 CUTTY SARK DR, HUNTINGTON BEACH, CA 92646-4304
(512) 956-1672
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
99436
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
99436
MIDWIFERY LICENSE NUMBER
TX
Enumeration date
04/26/2021
Last updated
04/26/2021
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