Provider Demographics
NPI:1720965171
Name:EFUETLEFAC, YVETTE ALEMNKIA
Entity type:Individual
Prefix:
First Name:YVETTE
Middle Name:ALEMNKIA
Last Name:EFUETLEFAC
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 1:1150 CUNNINGHAM AVE
Mailing Address - Street 2:
Mailing Address - City:PATASKALA
Mailing Address - State:OH
Mailing Address - Zip Code:43062-3515
Mailing Address - Country:US
Mailing Address - Phone:614-804-1981
Mailing Address - Fax:
Practice Address - Street 1:1150 CUNNINGHAM AVE
Practice Address - Street 2:
Practice Address - City:PATASKALA
Practice Address - State:OH
Practice Address - Zip Code:43062-3515
Practice Address - Country:US
Practice Address - Phone:614-804-1981
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-18
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide