Provider Demographics
NPI:1114780285
Name:BOECHER, YADA NGAMSANGA (RRT)
Entity Type:Individual
Prefix:
First Name:YADA
Middle Name:NGAMSANGA
Last Name:BOECHER
Suffix:
Gender:F
Credentials:RRT
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Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:2305 FARRINGTON AVE APT 101
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22303-1539
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2305 FARRINGTON AVE APT 101
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22303-1539
Practice Address - Country:US
Practice Address - Phone:571-447-2289
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-01
Last Update Date:2024-02-01
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered