NICOLE LYEMONE YEATS

PORTLAND, OR
NPI1235672049
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy126800000X Dental Assistant
(Licence: OR  113515)
Enumeration Date2016-11-28
Last Update Date2016-11-28
Business Address
-- NICOLE LYEMONE YEATS EFDA
5025 SE 28TH AVE
PORTLAND, OR 97202-4445
Phone number: 503-238-4418
Mailing Address
-- NICOLE LYEMONE YEATS EFDA
5025 SE 28TH AVE
PORTLAND, OR 97202-4445
Phone number: 503-238-4418