Individual
YELENA GAME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
8501 ARLINGTON BLVD STE 410, FAIRFAX, VA 22031
(703) 738-4331
Mailing address
11350 MCCORMICK RD EXECUTIVE PLAZA 1, STE 501, HUNT VALLEY, MD 21031-4638
(410) 329-1071
(410) 329-1054
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/02/2012
Last updated
03/11/2020
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