Provider Demographics
NPI:1427741305
Name:ALDAMEN, YREEM M
Entity type:Individual
Prefix:
First Name:YREEM
Middle Name:M
Last Name:ALDAMEN
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 1:4787 MATTOX ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43228-9087
Mailing Address - Country:US
Mailing Address - Phone:614-809-0032
Mailing Address - Fax:
Practice Address - Street 1:4787 MATTOX ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43228-9087
Practice Address - Country:US
Practice Address - Phone:614-809-0032
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-29
Last Update Date:2023-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide