Individual
DINARA YAMBULATOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPAS, PA
Contact information
Practice address
6849 OLD DOMINION DR STE 315, MC LEAN, VA 22101-3733
(571) 378-1398
(571) 580-0620
Mailing address
6849 OLD DOMINION DR STE 315, MC LEAN, VA 22101-3733
(571) 378-1398
(571) 580-0620
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110004891
VA
Other
Enumeration date
01/14/2015
Last updated
02/19/2025
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