Individual
ROOSEVELT YATES JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13848 ALMETZ ST, SYLMAR, CA 91342-1730
(818) 403-6533
Mailing address
13848 ALMETZ ST, SYLMAR, CA 91342-1730
(818) 403-6533
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
F7584255
CA
Other
Enumeration date
01/21/2020
Last updated
01/21/2020
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