Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | MD192864 | OR |
NPI | 1013335173 |
---|---|
Provider Name | Dr. Yasmin Renee Maldonado-Stitt |
First Address | Ashland, OR 97520-1251 |
Second Address | Ashland, OR 97520-1251 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2014 |
Last Update Date | 25/10/2021 |