Individual
EDNA YARASHEVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18613 FRONT NINE WAY, YORBA LINDA, CA 92886-7060
(818) 322-7536
Mailing address
18613 FRONT NINE WAY, YORBA LINDA, CA 92886-7060
(818) 322-7536
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95001399
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G756610
—
CA
Enumeration date
11/18/2014
Last updated
12/01/2015
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