Provider Demographics
NPI:1922328129
Name:PATTON, YOLANDA LATRINA
Entity Type:Individual
Prefix:
First Name:YOLANDA
Middle Name:LATRINA
Last Name:PATTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:YOLANDA
Other - Middle Name:
Other - Last Name:VAN BUREN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:18909 CORDARY AVE
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90504-5610
Mailing Address - Country:US
Mailing Address - Phone:310-849-7967
Mailing Address - Fax:
Practice Address - Street 1:18909 CORDARY AVE
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90504-5610
Practice Address - Country:US
Practice Address - Phone:310-849-7967
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-10
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker