Individual
ENAKA MARIE YEMBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
612 S. FARMERVILLE STREET, RUSTON, LA 71270
(318) 436-2600
(318) 436-2601
Mailing address
PO BOX 445, RUSTON, LA 71273-0445
(318) 436-2600
(318) 436-2601
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
199975
LA
207Q00000X
Family Medicine Physician
Q5954
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1054453
—
LA
Enumeration date
05/03/2006
Last updated
09/25/2019
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