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Wilda Yates

NPI 1326211236 · on the registry since 2008 · sole proprietor

Practice

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

Registry record

Primary taxonomy
172A00000X
172A00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2008-04-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho