Individual
DR. MAIYA YETUNDE ELON CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
344 UNIVERSITY BLVD W, SUITE 325, SILVER SPRING, MD 20901-1948
(301) 593-5440
(301) 593-5501
Mailing address
1507 KEARNEY ST NE, WASHINGTON, DC 20017-2959
(202) 832-8152
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D0061964
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
406773800
—
MD
Enumeration date
07/11/2006
Last updated
07/26/2011
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