Individual
YUSUF ENUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, QMHPA, QMHCM
Contact information
Practice address
1850 CAMERON GLEN DR, RESTON, VA 20190-3363
(703) 481-4100
(703) 435-1961
Mailing address
1850 CAMERON GLEN DR, RESTON, VA 20190-3363
(703) 481-4100
(703) 435-1961
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
0001252768
VA
Other
Enumeration date
07/13/2015
Last updated
07/13/2015
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