| Yumi Healthcare Llc | |
|
3085 Woodman Dr Ste 205 Kettering OH 45420-1171 | |
| (937) 681-4512 | |
| Not Available |
| Full Name | Yumi Healthcare Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3085 Woodman Dr Ste 205, Kettering, Ohio |
| Authorized Official Name and Position | Yvonne Yumiko Clark (OWNER) |
| Authorized Official Contact | 9376814512 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Yumi Healthcare Llc 322 Anniston Dr Dayton OH 45415-3002 Ph: (937) 681-4512 | Yumi Healthcare Llc 3085 Woodman Dr Ste 205 Kettering OH 45420-1171 Ph: (937) 681-4512 |
| NPI Number | 1588284418 |
|---|---|
| Provider Enumeration Date | 04/21/2020 |
| Last Update Date | 04/21/2020 |
| Medicare PECOS PAC ID | 8325469349 |
|---|---|
| Medicare Enrollment ID | O20200529002597 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588284418 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Yvonne Y Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710963657 PECOS PAC ID: 8325000862 Enrollment ID: I20041027001321 |
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