Individual
CHARLES YEAGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7447 S MADERA VILLAGE DR, TUCSON, AZ 85747-5709
(520) 574-3708
Mailing address
7447 S MADERA VILLAGE DR, TUCSON, AZ 85747-5709
(520) 574-3708
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
559405
AZ
Other
Enumeration date
07/28/2008
Last updated
07/28/2008
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