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Individual

AUDREY Y YAGALLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1565 SHOEMAKER AVE, WEST WYOMING, PA 18644-1030
(570) 831-9533
Mailing address
1565 SHOEMAKER AVE, WEST WYOMING, PA 18644-1030
(570) 831-9533

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary

Other

Enumeration date
05/12/2023
Last updated
05/12/2023
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