MEDICARE: MISS RASHIDAT YEKEEN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374J00000X	Doula

General Provider Information

NPI Number	:	1053131284
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS RASHIDAT YEKEEN

Provider Business Mailing Address
First Line	:	284 S 8TH ST
Second Line	:
City	:	NEWARK
State	:	NJ
Zip	:	07103-2107
Country	:	US
Telephone Number	:	862-368-9820
Fax Number	:

Provider Business Practice Location Address
First Line	:	284 S 8TH ST
Second Line	:
City	:	NEWARK
State	:	NJ
Zip	:	07103-2107
Country	:	US
Telephone Number	:	862-368-9820
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/14/2024
Last Update Date	:	10/14/2024

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Directions to “ MISS RASHIDAT YEKEEN ” Practice Location

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