Individual
MR. YAW P. BAIDOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
14960 POTOMAC HEIGHTS PL APT 503, WOODBRIDGE, VA 22191
(703) 634-3424
Mailing address
13842A OUTLET DR # 176, SILVER SPRING, MD 20904-4970
(703) 634-3424
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
PN1
ZZ
133NN1002X
Nutrition Education Nutritionist
PN1
ZZ
174H00000X
Health Educator
813532
IN
224Y00000X
Clinical Exercise Physiologist
813532
IN
225700000X
Massage Therapist
Primary
0019017773
VA
Other
Enumeration date
07/30/2018
Last updated
06/17/2020
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