Provider Demographics
NPI:1225376064
Name:LEMNYUY, EVELYNE YENYUYGHA
Entity Type:Individual
Prefix:MS
First Name:EVELYNE
Middle Name:YENYUYGHA
Last Name:LEMNYUY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6731 NEW HAMPSHIRE AVE APT 406
Mailing Address - Street 2:TAKOMA PARK
Mailing Address - City:TAKOMA PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20912-2801
Mailing Address - Country:US
Mailing Address - Phone:301-404-6321
Mailing Address - Fax:
Practice Address - Street 1:6731 NEW HAMPSHIRE AVE APT 406
Practice Address - Street 2:TAKOMA PARK
Practice Address - City:TAKOMA PARK
Practice Address - State:MD
Practice Address - Zip Code:20912-2801
Practice Address - Country:US
Practice Address - Phone:301-404-6321
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-30
Last Update Date:2013-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide