Most Relevant Information
Provider Data
| NPI Number: | 1003467838 |
| Provider Name: | YOTONYA RENE FRANKLIN LASAC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | LASAC-15274 |
Most Important Dates
| Enumeration Date: | 09/23/2019 |
| Last Updated: | 09/23/2019 |
Provider Practice Location
1522 E ADAMS ST
PHOENIX
AZ
850341123
Practice Location Phone/Fax
| Phone: | 6022524743 |
| Fax: |
Provider Mailing Location
1938 E BRILL ST
PHOENIX
AZ
850063019
Provider Mailing Phone/Fax
| Phone: | 6025713263 |
| Fax: |