Larry B. Yazzie
Home Health Aide in Pinon, AZ. Individual provider (NPI-1).
NPI number1679828875
StatusActive
Last updated in NPPESJul 13, 2012
Details
- NPI
- 1679828875
- Entity type
- Individual (NPI-1)
- Name
- Mr. Larry B. Yazzie
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 13, 2012
- Last updated
- Jul 13, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | – | – | Yes |
| 372600000X | Adult Companion | – | – |
Practice location
9 Miles East Of Pinon BashasPinon, AZ 86510-1209
Phone 928-675-7494
Mailing address
Po Box 1209Pinon, AZ 86510-1209
Phone 928-675-7494
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