Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080A0000X | Adolescent Medicine | 0101035273 | VA |
NPI | 1174637888 |
---|---|
Provider Name | Yasmin K. Anez |
First Address | Mclean, VA 22102-3530 |
Second Address | Mclean, VA 22102-3530 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E63668 | (02) | VA |