Individual
BRADLEY YENSHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 EAST BLVD, ELKHART, IN 46514-2483
(574) 533-3334
Mailing address
961 MAPLE HILL DR, ERIE, PA 16509-0912
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28171524A
IN
Other
Enumeration date
03/26/2014
Last updated
03/26/2014
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