Individual
DR. YOLANDRA HANCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
14526 CHURCH ST, UPPER MARLBORO, MD 20772-3040
(301) 304-4939
(301) 327-1749
Mailing address
14526 CHURCH ST, UPPER MARLBORO, MD 20772-3040
(301) 304-4939
(301) 327-1749
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
208000000X
Pediatrics Physician
Primary
MD035513
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
343671300
—
MD
05
—
5888180
—
DC
05
—
62727379
—
VA
Enumeration date
11/10/2006
Last updated
10/28/2021
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