Provider / Organization | NPI | Date Certified |
---|---|---|
YPAUL GOLDENMERRY | 1255894325 | 2023-02-12 |
Ypaul Goldenmerry is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1255894325. Registration indicates Ypaul Goldenmerry is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
Entity Type | Individual |
Provider Name | Ypaul Goldenmerry |
Practice Office Address | 5323 HARRY HINES BLVD DALLAS, TX US |
Practice Office Telephone | 5038779896 |
Mailing Address | 119 SLOOP CT GAITHERSBURG, MD 208773414 US |
Business Telephone | 5038779896 |
Code | Practice | License No State |
---|---|---|
390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care |