Individual
MRS. CANDACE MICHELLE YATES
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
110 DEER XING, VONORE, TN 37885-2133
(423) 884-1901
Mailing address
431 SAW MILL RD, TELLICO PLAINS, TN 37385-5358
(423) 253-6422
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0000000702
TN
Other
Enumeration date
02/17/2006
Last updated
07/08/2007
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