K'La Dawn Yuan
Student in an Organized Health Care Education/Training Program in Peoria, IL. Individual provider (NPI-1).
NPI number1982307922
StatusActive
Last updated in NPPESMar 27, 2023
Details
- NPI
- 1982307922
- Entity type
- Individual (NPI-1)
- Name
- K'La Dawn Yuan
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 27, 2023
- Certification date
- Mar 26, 2023
- Last updated
- Mar 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
530 Ne Glen Oak AvePeoria, IL 61637-0001
Phone 515-371-6672
Mailing address
530 Ne Glen Oak AvePeoria, IL 61637-0001
Phone 515-371-6672
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