Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0100X | Occupational Health | OTA-005395 | AZ |
NPI | 1063084150 |
---|---|
Provider Name | Yolanda R Mcevers |
First Address | Phoenix, AZ 85044-3327 |
Second Address | Chandler, AZ 85226-7921 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/07/2021 |
Last Update Date | 16/07/2021 |