Provider Demographics
NPI:1417430638
Name:TCHUENKAM, BERTHE YOLANDE (LVN)
Entity type:Individual
Prefix:
First Name:BERTHE
Middle Name:YOLANDE
Last Name:TCHUENKAM
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:902 CATTAIL DR
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76001-5911
Mailing Address - Country:US
Mailing Address - Phone:734-560-1699
Mailing Address - Fax:
Practice Address - Street 1:902 CATTAIL DR
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76001-5911
Practice Address - Country:US
Practice Address - Phone:734-560-1699
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-13
Last Update Date:2018-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX336542164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse