Provider Demographics
NPI:1407448335
Name:RADEMEYER, YOLANDE (LDEM)
Entity Type:Individual
Prefix:
First Name:YOLANDE
Middle Name:
Last Name:RADEMEYER
Suffix:
Gender:F
Credentials:LDEM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4359 S HIGHLAND DR
Mailing Address - Street 2:
Mailing Address - City:SLC
Mailing Address - State:UT
Mailing Address - Zip Code:84124-3539
Mailing Address - Country:US
Mailing Address - Phone:760-815-6923
Mailing Address - Fax:
Practice Address - Street 1:4359 S HIGHLAND DR
Practice Address - Street 2:
Practice Address - City:SLC
Practice Address - State:UT
Practice Address - Zip Code:84124-3539
Practice Address - Country:US
Practice Address - Phone:760-815-6923
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-11
Last Update Date:2021-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT12122284-3400176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife