Provider Demographics
NPI:1154823334
Name:THOMAS, YVETTE (HAIR LOSS SPECIALIST)
Entity Type:Individual
Prefix:MS
First Name:YVETTE
Middle Name:
Last Name:THOMAS
Suffix:
Gender:F
Credentials:HAIR LOSS SPECIALIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2813 BERRYWOOD LN
Mailing Address - Street 2:
Mailing Address - City:SPRINGDALE
Mailing Address - State:MD
Mailing Address - Zip Code:20774-2592
Mailing Address - Country:US
Mailing Address - Phone:301-336-5139
Mailing Address - Fax:
Practice Address - Street 1:9331 ANNAPOLIS RD STE 308
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-3120
Practice Address - Country:US
Practice Address - Phone:301-336-5139
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-05
Last Update Date:2018-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case Management