Individual
YADALE FASSIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
10301 GEORGIA AVE STE 203W, SILVER SPRING, MD 20902-5020
(240) 865-3135
Mailing address
2413 HARMON RD, SILVER SPRING, MD 20902-4942
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R236610
MD
Other
Enumeration date
10/24/2025
Last updated
10/24/2025
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