Individual
YANNICK MBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6012 BLACK BEAR CT, WALDORF, MD 20603-4342
(202) 855-4964
Mailing address
6012 BLACK BEAR CT, WALDORF, MD 20603-4342
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
12/11/2024
Last updated
12/11/2024
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