Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 0101249989 | VA |
Y | 111NI0900X | Internist | 0101249989 | VA |
NPI | 1003118068 |
---|---|
Provider Name | Yanela Margarita Duenas Milian |
First Address | Newport News, VA 23601-1318 |
Second Address | Tappahannock, VA 22560-5000 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/11/2010 |
Last Update Date | 16/07/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1003118068 | (05) | VA |