Provider Demographics
NPI:1649399866
Name:FLORES, YOLANDA C
Entity Type:Individual
Prefix:MRS
First Name:YOLANDA
Middle Name:C
Last Name:FLORES
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 1:11632 JIM THORPE DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79936-6109
Mailing Address - Country:US
Mailing Address - Phone:915-855-4475
Mailing Address - Fax:
Practice Address - Street 1:11632 JIM THORPE DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-6109
Practice Address - Country:US
Practice Address - Phone:915-855-4475
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor