Provider Demographics
NPI:1104530468
Name:MCCOMBS, YVONNE MONIQUE
Entity type:Individual
Prefix:MRS
First Name:YVONNE
Middle Name:MONIQUE
Last Name:MCCOMBS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15195 BANDERA WAY
Mailing Address - Street 2:
Mailing Address - City:VICTORVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:92394-3710
Mailing Address - Country:US
Mailing Address - Phone:442-392-0744
Mailing Address - Fax:
Practice Address - Street 1:15195 BANDERA WAY
Practice Address - Street 2:
Practice Address - City:VICTORVILLE
Practice Address - State:CA
Practice Address - Zip Code:92394-3710
Practice Address - Country:US
Practice Address - Phone:442-392-0744
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-11
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty