Individual
YUSUF ENUM
Active
Individual
YUSUF ENUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, QMHPA, QMHCM
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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