Individual
K'LA DAWN YUAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(515) 371-6672
Mailing address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(515) 371-6672
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/27/2023
Last updated
03/27/2023
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