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Jennifer Yates

Rehabilitation Practitioner in Huntington Park, CA. Individual provider (NPI-1).

NPI number1164054839
StatusActive
Last updated in NPPESFeb 10, 2020

Details

NPI
1164054839
Entity type
Individual (NPI-1)
Name
Jennifer Yates
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 10, 2020
Certification date
Feb 10, 2020
Last updated
Feb 10, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225400000X Rehabilitation Practitioner––Yes

Practice location

2677 Zoe Ave Ste 304
Huntington Park, CA 90255-3699

Phone 323-346-0960

Mailing address

2677 Zoe Ave Ste 304
Huntington Park, CA 90255-3699

Phone 323-346-0960

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