Provider Demographics
NPI:1841022308
Name:YAMBA, SHARIFA
Entity type:Individual
Prefix:
First Name:SHARIFA
Middle Name:
Last Name:YAMBA
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 1:7115 GLENRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20784-1622
Mailing Address - Country:US
Mailing Address - Phone:412-477-2260
Mailing Address - Fax:
Practice Address - Street 1:7115 GLENRIDGE DR
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20784-1622
Practice Address - Country:US
Practice Address - Phone:412-477-2260
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-14
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program