Provider Demographics
NPI:1053859629
Name:ALBARRAN, YESENIA LUCIA (CMA)
Entity Type:Individual
Prefix:
First Name:YESENIA
Middle Name:LUCIA
Last Name:ALBARRAN
Suffix:
Gender:F
Credentials:CMA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5301 TIETON DR
Mailing Address - Street 2:SUITE C
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98908-3478
Mailing Address - Country:US
Mailing Address - Phone:509-966-7100
Mailing Address - Fax:509-966-9750
Practice Address - Street 1:5301 TIETON DR
Practice Address - Street 2:SUITE C
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98908-3478
Practice Address - Country:US
Practice Address - Phone:509-966-7100
Practice Address - Fax:509-966-9750
Is Sole Proprietor?:No
Enumeration Date:2017-02-03
Last Update Date:2017-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACM60606308376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide