LUIS FERNANDO YCAZA

JOHNSON CITY, TN
NPI1083554802
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2026-03-31
Last Update Date2026-03-31
Business Address
LUIS FERNANDO YCAZA DO
325 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604-6056
Phone number: 423-439-7280
Mailing Address
LUIS FERNANDO YCAZA DO
325 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604-6056
Phone number: 423-439-7280
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