Provider Demographics
NPI:1649759622
Name:YARULLINA, ILMIYA
Entity Type:Individual
Prefix:
First Name:ILMIYA
Middle Name:
Last Name:YARULLINA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11909 PARKLAWN DR APT 301
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-2631
Mailing Address - Country:US
Mailing Address - Phone:301-915-5616
Mailing Address - Fax:
Practice Address - Street 1:1208 FLORIDA AVE NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-7106
Practice Address - Country:US
Practice Address - Phone:301-915-5656
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-09
Last Update Date:2018-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide