Individual
BENEDICTA YANKEU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
205 FAIRBANKS DR, GAITHERSBURG, MD 20877-6335
(901) 246-9475
Mailing address
205 FAIRBANKS DR, GAITHERSBURG, MD 20877-6335
(901) 246-9475
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NA0000812731
—
DC
Enumeration date
03/04/2021
Last updated
03/04/2021
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