Individual
YALEMEFREA DEREBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6270 LINCOLNIA RD, ALEXANDRIA, VA 22312-1530
(571) 290-9705
Mailing address
6270 LINCOLNIA RD, ALEXANDRIA, VA 22312-1530
(571) 290-9705
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
B60015184
VA
Other
Enumeration date
10/25/2021
Last updated
10/25/2021
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