Provider Demographics
NPI:1851301691
Name:YARED, CAROLE NADIM (DC)
Entity Type:Individual
Prefix:DR
First Name:CAROLE
Middle Name:NADIM
Last Name:YARED
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6222 OLD FRANCONIA RD STE A
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22310-3403
Mailing Address - Country:US
Mailing Address - Phone:703-822-8005
Mailing Address - Fax:703-822-8007
Practice Address - Street 1:6222 OLD FRANCONIA RD STE A
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22310-3403
Practice Address - Country:US
Practice Address - Phone:703-822-8005
Practice Address - Fax:703-822-8007
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104555878111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor