MRS. Janice Yates, PHYSICIAN ASSISTANT
NPI #1164603791
Provider Information
- NPI Number
- 1164603791
- Entity Type
- Individual
- Name
- MRS. Janice Yates, PHYSICIAN ASSISTANT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PHYSICIAN ASSISTANT
- Enumeration Date
- Nov 26, 2007
- Last Updated
- May 29, 2012
Practice Location
- Address
- CMR 402 BOX 2184
- City
- Apo
- State
- AE
- ZIP Code
- 09180-0022
- Phone
- (314) 486-8133
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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