MR. Yacumb Prather

NPI #1407398472 in Altamonte Spg, Florida

Provider Information

NPI Number: 1407398472
Entity Type: Individual
Name: MR. Yacumb Prather
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Nov 8, 2016
Last Updated: Nov 8, 2016

Practice Location

Address: 438 LOS ALTOS WAY
City: Altamonte Spg
State: Florida
ZIP Code: 32714-3276
Phone: (407) 613-7866

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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