Provider Demographics
NPI:1356611271
Name:KAMARA, YAYOH (RN, BSN)
Entity type:Individual
Prefix:MS
First Name:YAYOH
Middle Name:
Last Name:KAMARA
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9201 GOOD LUCK RD
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-3475
Mailing Address - Country:US
Mailing Address - Phone:240-826-1922
Mailing Address - Fax:
Practice Address - Street 1:9923 GOOD LUCK RD APT 204
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-3247
Practice Address - Country:US
Practice Address - Phone:240-501-8665
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-10
Last Update Date:2016-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
146N00000X
MDR197002163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
Yes146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, Basic