Provider Demographics
NPI:1740016385
Name:PRENDAS, YINETTE DENIA
Entity type:Individual
Prefix:
First Name:YINETTE
Middle Name:DENIA
Last Name:PRENDAS
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 1:301 HAMILTON ST NW APT 3
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-3282
Mailing Address - Country:US
Mailing Address - Phone:202-621-3025
Mailing Address - Fax:
Practice Address - Street 1:3446 CONNECTICUT AVE NW APT 104
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20008-1313
Practice Address - Country:US
Practice Address - Phone:202-362-3784
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-10
Last Update Date:2024-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant