Provider Demographics
NPI:1376210856
Name:YINGER, SARA JAYNE (RMP)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:JAYNE
Last Name:YINGER
Suffix:
Gender:F
Credentials:RMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1011 FAIRWAY AVE
Mailing Address - Street 2:
Mailing Address - City:GLEN BURNIE
Mailing Address - State:MD
Mailing Address - Zip Code:21061-4126
Mailing Address - Country:US
Mailing Address - Phone:954-707-8272
Mailing Address - Fax:
Practice Address - Street 1:1011 FAIRWAY AVE
Practice Address - Street 2:
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061-4126
Practice Address - Country:US
Practice Address - Phone:954-707-8272
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-24
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR03352225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist