Provider Demographics
NPI:1164655429
Name:YOKIE, PAGIE KONDOH (REGISTERED NURSE)
Entity Type:Individual
Prefix:MRS
First Name:PAGIE
Middle Name:KONDOH
Last Name:YOKIE
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:MISS
Other - First Name:PAGIE
Other - Middle Name:KONDOH
Other - Last Name:LAGGAH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:812 MYSTIC POINTE DRIVE
Mailing Address - Street 2:
Mailing Address - City:LEWIS CENTER
Mailing Address - State:OH
Mailing Address - Zip Code:43035
Mailing Address - Country:US
Mailing Address - Phone:614-707-2076
Mailing Address - Fax:
Practice Address - Street 1:812 MYSTIC POINTE DRIVE
Practice Address - Street 2:
Practice Address - City:LEWIS CENTER
Practice Address - State:OH
Practice Address - Zip Code:43035
Practice Address - Country:US
Practice Address - Phone:614-707-2076
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-02
Last Update Date:2016-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH400966163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse