Individual
IMAD YACOUBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3261 THEODORE R HAGAN, S DRIVE N.E, DISTRICT OF COLUMBIA, DC 20018-2001
(407) 948-8315
Mailing address
715 N VAN DORN ST, ALEXANDRIA, VA 22304-2721
(571) 723-3872
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
12/01/2021
Last updated
12/01/2021
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