Individual
TRACI YATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2980 WILDER RD, BAY CITY, MI 48706-9213
(989) 667-9533
Mailing address
609 PARK AVE, BAY CITY, MI 48708-6859
(989) 893-7392
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
5302029434
MI
Other
Enumeration date
05/08/2014
Last updated
05/08/2014
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