NPI 1326211236

Wilda May Yates

Practitioner Driver Star, ID

Practice location

Address: 62 N Union St, Star, ID 83669
Phone: (208) 286-0346

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence AA134756E (ID)

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Registry record

NPI: 1326211236
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Apr 2008
Record last updated: 11 Apr 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.