Provider Demographics
NPI:1114139185
Name:FRANKLIN, YOLONDA DELLINE (IDC)
Entity Type:Individual
Prefix:MS
First Name:YOLONDA
Middle Name:DELLINE
Last Name:FRANKLIN
Suffix:
Gender:F
Credentials:IDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 SIGNATURE WAY APT 1133
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23666-5948
Mailing Address - Country:US
Mailing Address - Phone:757-537-8629
Mailing Address - Fax:
Practice Address - Street 1:USS DWIGHT D EISENHOWER CVN 69
Practice Address - Street 2:MEDICAL DEPT
Practice Address - City:FPO
Practice Address - State:AE
Practice Address - Zip Code:09532 2380
Practice Address - Country:US
Practice Address - Phone:757-445-3037
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-04
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1710I1002XOther Service ProvidersMilitary Health Care ProviderIndependent Duty Corpsman