Individual
YANARAH MENTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 CARSON WAY APT 227, GREENWOOD, IN 46143-2244
(561) 787-4004
Mailing address
840 GEORGE BUSH BLVD, DELRAY BEACH, FL 33483-5747
(561) 268-3069
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
03/06/2024
Last updated
05/23/2024
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