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Individual

CHRISTIAN LY CORNEJO YUMPE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2333 ONTARIO RD NW, WASHINGTON, DC 20009-2627
(202) 545-6800
Mailing address
601 S CARLIN SPRINGS RD, ARLINGTON, VA 22204-1044
(703) 271-8800
(703) 271-8585

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0101240007
VA
208000000X
Pediatrics Physician
Primary
MD038358
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0101240007
MEDICAL LICENSE
VA
05
010290988
VA
Enumeration date
08/21/2006
Last updated
11/08/2024
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