Provider Demographics
NPI:1316204050
Name:MARFO, YAW
Entity Type:Individual
Prefix:
First Name:YAW
Middle Name:
Last Name:MARFO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3203 TOLEDO PL
Mailing Address - Street 2:APT 201
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20782-4114
Mailing Address - Country:US
Mailing Address - Phone:240-755-2219
Mailing Address - Fax:
Practice Address - Street 1:3203 TOLEDO PL
Practice Address - Street 2:APT 201
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20782-4114
Practice Address - Country:US
Practice Address - Phone:240-755-2219
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-19
Last Update Date:2012-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide