Healthcare Provider Details

I. General information

NPI: 1710228887
Provider Name (Legal Business Name): MS. YOCHEVED GLASER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/13/2013
Last Update Date: 03/13/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5912 BLAND AVE
BALTIMORE MD
21215-3817
US

IV. Provider business mailing address

5912 BLAND AVE
BALTIMORE MD
21215-3817
US

V. Phone/Fax

Practice location:
  • Phone: 443-929-1969
  • Fax:
Mailing address:
  • Phone: 443-929-1969
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License NumberSINAI HOSPITAL CERT
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: