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NPI Code Detail

MEDICARE: MARY MALEE YAP

MEDICARE: MARY MALEE YAP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist293441CA

General Provider Information

NPI Number : 1831678275
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY MALEE YAP
Provider Business Mailing Address
First Line : 6173 LA COSTA
Second Line :
City : FONTANA
State : CA
Zip : 92336-5684
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9440 CITRUS AVE
Second Line :
City : FONTANA
State : CA
Zip : 92335-5512
Country : US
Telephone Number : 909-823-3481
Fax Number : 909-259-0972
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/07/2018
Last Update Date : 08/07/2018

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Directions to “ MARY MALEE YAP ” Practice Location

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