THERESA A YAZZIE

EAGLE BUTTE, SD
NPI1891037065
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NM  L1741)
Enumeration Date2013-03-26
Last Update Date2013-03-26
Business Address
Ms. THERESA A YAZZIE LPN
24276 166TH ST. AIRPORT RD
EAGLE BUTTE, SD 57625
Phone number: 505-860-8927
Mailing Address
Ms. THERESA A YAZZIE LPN
194 ELK DRIVE
EAGLE BUTTE, SD 57625
Phone number: 505-860-8927