Provider Demographics
NPI:1689471690
Name:DENA, YEZZENIA
Entity type:Individual
Prefix:
First Name:YEZZENIA
Middle Name:
Last Name:DENA
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 1:57 SAN MIGUEL AVE APT 16
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901-3043
Mailing Address - Country:US
Mailing Address - Phone:831-320-8658
Mailing Address - Fax:
Practice Address - Street 1:57 SAN MIGUEL AVE APT 16
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-3043
Practice Address - Country:US
Practice Address - Phone:831-320-8658
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-26
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator