Individual
JULIANNA LASHER YATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1025 N DOUTY ST, HANFORD, CA 93230-3722
(559) 537-0246
(559) 589-2209
Mailing address
1479 W LACEY BLVD, HANFORD, CA 93230-5906
(559) 583-4617
(559) 583-4625
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA12328
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX65700
—
CA
01
—
OPA123281
MEDICARE P/TAN
CA
Enumeration date
07/18/2005
Last updated
07/24/2014
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