Provider Demographics
NPI:1861154205
Name:TCHEUKOUA KAMMO, CLAUDE YASMINE
Entity type:Individual
Prefix:
First Name:CLAUDE YASMINE
Middle Name:
Last Name:TCHEUKOUA KAMMO
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 1:8808 STERLING ST
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20785-2469
Mailing Address - Country:US
Mailing Address - Phone:240-579-9904
Mailing Address - Fax:
Practice Address - Street 1:8808 STERLING ST
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20785-2469
Practice Address - Country:US
Practice Address - Phone:240-579-9904
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-13
Last Update Date:2021-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide