Individual
MICAELA YANEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1019 E MAIN ST, WEATHERFORD, OK 73096-5743
(580) 772-2956
(580) 774-2179
Mailing address
1019 E MAIN ST, WEATHERFORD, OK 73096-5743
(580) 772-2956
(580) 774-2179
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18772
OK
Other
Enumeration date
10/01/2020
Last updated
10/01/2020
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