Individual
MICHAEL YOAKUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
1149 S MAPLE AVE, FAIRBORN, OH 45324-3723
(937) 657-4467
Mailing address
1149 S MAPLE AVE, FAIRBORN, OH 45324-3723
(937) 657-4467
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
022803
OH
Other
Enumeration date
05/31/2018
Last updated
05/31/2018
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