Individual
YAWAN EAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2626 FALMOUTH AVE, DAYTON, OH 45406-1605
(937) 985-7551
Mailing address
311 ELM ST STE 270, CINCINNATI, OH 45202-2781
(937) 955-9008
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
141254
OH
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
Primary
RU412526
OH
Other
Enumeration date
09/15/2010
Last updated
01/06/2023
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