| Yonnik Llc | |
|
16888 Nisqualli Rd Victorville CA 92395-9703 | |
| (760) 470-8330 | |
| (760) 356-6383 |
| Full Name | Yonnik Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 16888 Nisqualli Rd, Victorville, California |
| Authorized Official Name and Position | Wilyon Antre Miller (MANAGING MEMBER) |
| Authorized Official Contact | 7604708330 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Yonnik Llc Po Box 356 Adelanto CA 92301-0356 Ph: (760) 470-8330 | Yonnik Llc 16888 Nisqualli Rd Victorville CA 92395-9703 Ph: (760) 470-8330 |
| NPI Number | 1164180592 |
|---|---|
| Provider Enumeration Date | 12/02/2021 |
| Last Update Date | 12/02/2021 |
| Certification Date | 12/02/2021 |
| Medicare PECOS PAC ID | 9133565005 |
|---|---|
| Medicare Enrollment ID | O20240313004260 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164180592 | NPI | - | NPPES |
| Provider Name | Wilyon Miller |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1891063558 PECOS PAC ID: 6901293190 Enrollment ID: I20240328000467 |
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