Provider Demographics
NPI:1720742919
Name:WRIGHT, DEBORA YNEZ (RT)
Entity type:Individual
Prefix:
First Name:DEBORA
Middle Name:YNEZ
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:RT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17247 BIRCHER ST
Mailing Address - Street 2:
Mailing Address - City:GRANADA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91344-2410
Mailing Address - Country:US
Mailing Address - Phone:310-628-4191
Mailing Address - Fax:
Practice Address - Street 1:17247 BIRCHER ST
Practice Address - Street 2:
Practice Address - City:GRANADA HILLS
Practice Address - State:CA
Practice Address - Zip Code:91344-2410
Practice Address - Country:US
Practice Address - Phone:310-628-4191
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-25
Last Update Date:2021-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Single Specialty