Provider Demographics
NPI:1477811776
Name:FIOKOUNA, YAWA (HHA)
Entity Type:Individual
Prefix:MS
First Name:YAWA
Middle Name:
Last Name:FIOKOUNA
Suffix:
Gender:F
Credentials:HHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 RIGGS RD NE APT 13
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-2457
Mailing Address - Country:US
Mailing Address - Phone:202-294-9151
Mailing Address - Fax:
Practice Address - Street 1:13 RIGGS ROAD, APT B1
Practice Address - Street 2:
Practice Address - City:WASHINGTON, D.C
Practice Address - State:DC
Practice Address - Zip Code:20011
Practice Address - Country:US
Practice Address - Phone:240-294-9151
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-25
Last Update Date:2012-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide