Provider Demographics
NPI:1053055194
Name:ZAYYAT, YAFI RAWAN
Entity Type:Individual
Prefix:
First Name:YAFI
Middle Name:RAWAN
Last Name:ZAYYAT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3858 W KINGLASSIE LN
Mailing Address - Street 2:
Mailing Address - City:TAYLORSVILLE
Mailing Address - State:UT
Mailing Address - Zip Code:84129-3450
Mailing Address - Country:US
Mailing Address - Phone:801-867-3163
Mailing Address - Fax:
Practice Address - Street 1:3858 W KINGLASSIE LN
Practice Address - Street 2:
Practice Address - City:TAYLORSVILLE
Practice Address - State:UT
Practice Address - Zip Code:84129-3450
Practice Address - Country:US
Practice Address - Phone:801-867-3163
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-25
Last Update Date:2022-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program