Provider Demographics
NPI:1013798289
Name:YOMKIL, DIANE KARELLE
Entity type:Individual
Prefix:
First Name:DIANE
Middle Name:KARELLE
Last Name:YOMKIL
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 1:14310 ROSETREE CT
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20906-1939
Mailing Address - Country:US
Mailing Address - Phone:240-463-1101
Mailing Address - Fax:
Practice Address - Street 1:14310 ROSETREE CT
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20906-1939
Practice Address - Country:US
Practice Address - Phone:240-463-1101
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-12
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator