Individual
TIBECA YAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CBS
Contact information
Practice address
26 ENSOR AVE, COCKEYSVILLE, MD 21030-2310
(708) 691-3463
Mailing address
26 ENSOR AVE, COCKEYSVILLE, MD 21030-2310
(708) 691-3463
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
MD
Other
Enumeration date
03/27/2014
Last updated
03/27/2014
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