Doctor Name: | MS. CAREME YAGO |
NPI Number: | 1215280516 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 62407 |
Business Practice Address: | 804 Pershing Drive Apt 110 Silver Spring, MD - 20910 |
Business Phone Number: | 3013556578 |
Business Fax Number: | 3013557828 |
Mailing Address: | 14000 Castle Blvd Apt 103, SILVER SPRING |
State: | MD |
Postal Code: | 209044600 |
Phone Number: | 2402936637 |
Fax Number: | |
NPI Enumeration Date: | 10/24/2012 |
NPI Last Update Date: | 10/24/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 62407 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | DC |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |