Individual
YULLY LUDENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8347A GREENSBORO DR, MC LEAN, VA 22102-3530
(571) 888-5193
Mailing address
8347A GREENSBORO DR, MC LEAN, VA 22102-3530
(571) 888-5193
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
262873144
EIM
VA
Enumeration date
11/12/2018
Last updated
10/12/2022
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