Provider Demographics
NPI:1750184685
Name:YANTOU, ERICA CYNTHIA WOUWE
Entity type:Individual
Prefix:
First Name:ERICA
Middle Name:CYNTHIA WOUWE
Last Name:YANTOU
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12650 GREY EAGLE CT
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20874-5318
Mailing Address - Country:US
Mailing Address - Phone:202-793-0353
Mailing Address - Fax:
Practice Address - Street 1:5210 INDIAN HEAD HWY STE 2RF
Practice Address - Street 2:
Practice Address - City:OXON HILL
Practice Address - State:MD
Practice Address - Zip Code:20745-2048
Practice Address - Country:US
Practice Address - Phone:833-230-2905
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-27
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator