Individual
ISA YAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10206 INDIAN SUMMER CT, BOWIE, MD 20721-3178
(240) 899-5842
Mailing address
10206 INDIAN SUMMER CT, BOWIE, MD 20721-3178
(240) 899-5842
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA14045
DC
Other
Enumeration date
10/25/2018
Last updated
10/25/2018
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