Provider Demographics
NPI:1235599069
Name:YANEK, VANESSA LUZ
Entity Type:Individual
Prefix:MRS
First Name:VANESSA
Middle Name:LUZ
Last Name:YANEK
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 1:20150 SW 326TH ST
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33030-6312
Mailing Address - Country:US
Mailing Address - Phone:305-321-1437
Mailing Address - Fax:
Practice Address - Street 1:20150 SW 326TH ST
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33030-6312
Practice Address - Country:US
Practice Address - Phone:305-321-1437
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-07
Last Update Date:2016-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist