Provider Demographics
NPI:1447750468
Name:KAMARA, YAKANU RADMINA
Entity Type:Individual
Prefix:
First Name:YAKANU
Middle Name:RADMINA
Last Name:KAMARA
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 1:13401 GUILFORD RUN LN APT H
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-6171
Mailing Address - Country:US
Mailing Address - Phone:240-444-6437
Mailing Address - Fax:
Practice Address - Street 1:13401 GUILFORD RUN LN APT H
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-6171
Practice Address - Country:US
Practice Address - Phone:240-444-6437
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-16
Last Update Date:2018-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician