Individual
ERIC BASILE YAKAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2355 GALE LN, CHATTANOOGA, TN 37421-1685
(254) 266-0801
Mailing address
2355 GALE LN, CHATTANOOGA, TN 37421-1685
(254) 266-0801
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
142504456
TN
376K00000X
Nurse's Aide
00224039
TN
Other
Enumeration date
03/06/2024
Last updated
03/06/2024
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