Individual
MRS. DAMA RETER YEKESON-KOFFA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, SRNA
Contact information
Practice address
4940 EASTERN AVE, ANESTHESIA DEPARTMENT BAYVIEW MEDICAL CENTER, BALTIMORE, MD 21224-2735
(443) 694-8960
(410) 356-5821
Mailing address
4940 EASTERN AVE, ANESTHESIA DEPARTMENT BAYVIEW MEDICAL CENTER, BALTIMORE, MD 21224-2735
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R181175
MD
Other
Enumeration date
01/30/2014
Last updated
01/30/2014
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