Individual
IYLA OULABI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2101 TYSONS EXECUTIVE CT, DUNN LORING, VA 22027-1046
(703) 625-6559
Mailing address
2101 TYSONS EXECUTIVE CT, DUNN LORING, VA 22027-1046
(703) 625-6559
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
AA2000017
DC
Other
Enumeration date
01/07/2022
Last updated
07/05/2022
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