Individual
TAMMY YATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
397 MID ATLANTIC PKWY STE 1, MARTINSBURG, WV 25404-7468
(304) 267-3997
(304) 471-2488
Mailing address
553 VILLA DR, BUNKER HILL, WV 25413-3484
(304) 820-6158
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
03/11/2025
Last updated
03/11/2025
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