Provider Demographics
NPI:1982110979
Name:AYUK, DAFLAURA
Entity Type:Individual
Prefix:
First Name:DAFLAURA
Middle Name:
Last Name:AYUK
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 1:13905 BRIARWOOD DR APT 533
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20708-1340
Mailing Address - Country:US
Mailing Address - Phone:571-466-9451
Mailing Address - Fax:
Practice Address - Street 1:13905 BRIARWOOD DR APT 533
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20708-1340
Practice Address - Country:US
Practice Address - Phone:571-466-9451
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-28
Last Update Date:2017-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA13391374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide