Individual
FONTELLIA YATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1026 DAKAR DR, PETERSBURG, VA 23803-4804
(804) 732-5609
Mailing address
1026 DAKAR DR, PETERSBURG, VA 23803-4804
(804) 732-5609
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202010669
VA
Other
Enumeration date
10/16/2013
Last updated
10/16/2013
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