Individual
KRISTA S YACHECHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1868 PACIFIC AVE, LONG BEACH, CA 90806-6113
(562) 595-4718
Mailing address
1045 ATLANTIC AVE, SUITE 705, LONG BEACH, CA 90813-3408
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP12200
CA
Other
Enumeration date
07/10/2006
Last updated
09/11/2007
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