Provider Demographics
NPI:1568712586
Name:TUMASANG, YVONNE ATEH
Entity Type:Individual
Prefix:MRS
First Name:YVONNE
Middle Name:ATEH
Last Name:TUMASANG
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 1:3205 WEEPING WILLOW CT
Mailing Address - Street 2:APT # 24
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20906-2572
Mailing Address - Country:US
Mailing Address - Phone:301-433-4975
Mailing Address - Fax:
Practice Address - Street 1:3205 WEEPING WILLOW CT
Practice Address - Street 2:APT # 24
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20906-2572
Practice Address - Country:US
Practice Address - Phone:301-433-4975
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-18
Last Update Date:2012-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide