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NPI Code Detail

MEDICARE: ISA YAKE

MEDICARE: ISA YAKE
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
1374U00000XHome Health AideHHA14045DC

General Provider Information

NPI Number : 1467929620
Entity Type Code : Individual
Provider Name (Legal Business Name) : ISA YAKE
Provider Business Mailing Address
First Line : 10206 INDIAN SUMMER CT
Second Line :
City : BOWIE
State : MD
Zip : 20721-3178
Country : US
Telephone Number : 240-899-5842
Fax Number :
Provider Business Practice Location Address
First Line : 10206 INDIAN SUMMER CT
Second Line :
City : BOWIE
State : MD
Zip : 20721-3178
Country : US
Telephone Number : 240-899-5842
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2018
Last Update Date : 10/25/2018

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Directions to “ ISA YAKE ” Practice Location

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