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Individual

MS. JACQUELINE CHRISTINA YUILLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
900 23RD ST NW, WASHINGTON, DC 20037-2342
(202) 715-4000
Mailing address
2035 S OAKLAND ST, ARLINGTON, VA 22204-5411
(443) 570-1184

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
C0003517
MD
363AM0700X
Medical Physician Assistant
0110002800
VA
363AM0700X
Medical Physician Assistant
Primary
PA030630
DC

Other

Enumeration date
06/19/2007
Last updated
12/04/2009
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