Individual
TARINA RAECHEL YATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A.S., CD(DONA)
Contact information
Practice address
101 S WALL ST, CARBONDALE, IL 62901-3021
(618) 519-9200
(618) 519-9404
Mailing address
109 CALIFORNIA ST, PO BOX 577, CARTERVILLE, IL 62918
(618) 519-9200
(618) 985-4635
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
—
—
374J00000X
Doula
Primary
—
—
Other
Enumeration date
05/11/2023
Last updated
12/12/2024
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