Provider Demographics
NPI:1689137572
Name:FORBES, YOLANDA SAREEDA
Entity Type:Individual
Prefix:
First Name:YOLANDA
Middle Name:SAREEDA
Last Name:FORBES
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 1:4506 RUSTON PL UNIT C
Mailing Address - Street 2:
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20602-1564
Mailing Address - Country:US
Mailing Address - Phone:301-693-6633
Mailing Address - Fax:
Practice Address - Street 1:3909 PENNSYLVANIA AVE SE APT 301
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20020-1140
Practice Address - Country:US
Practice Address - Phone:202-582-1260
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-09
Last Update Date:2019-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant