Individual
GLORIA YANEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4400 SAN CARLOS DR, FAIRFAX, VA 22030-5369
(703) 250-0242
Mailing address
4400 SAN CARLOS DR, FAIRFAX, VA 22030-5369
(703) 250-0242
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
1401171920
VA
Other
Enumeration date
04/13/2015
Last updated
04/13/2015
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