Provider Demographics
NPI:1740537042
Name:YABBA, MARIAMA (HOME HEALTH AIDE)
Entity type:Individual
Prefix:MS
First Name:MARIAMA
Middle Name:
Last Name:YABBA
Suffix:
Gender:F
Credentials:HOME HEALTH AIDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6223 SPRINGHILL CT
Mailing Address - Street 2:APT # 304
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-1337
Mailing Address - Country:US
Mailing Address - Phone:240-593-1592
Mailing Address - Fax:
Practice Address - Street 1:6223 SPRINGHILL CT
Practice Address - Street 2:APT # 304
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-1337
Practice Address - Country:US
Practice Address - Phone:240-593-1592
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-07
Last Update Date:2012-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide