Yehenew Yeshiwas

NPI 1568906352 · on the registry since 2016 · sole proprietor

Practice

Address: 23500 Kasson Road
Tracy, CA 95378
Phone: (209) 835-4141
Fax: (209) 830-3807
Organisation at this address: California Deparmen Of Correction
Corrections And Rehabilitation-Headquarters
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 22

Registry record

Primary taxonomy: Pharmacist
183500000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2016-12-13

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 California