Provider Demographics
NPI:1215655675
Name:YUSUF, ALIAH
Entity type:Individual
Prefix:
First Name:ALIAH
Middle Name:
Last Name:YUSUF
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 1:1662 MONROE CT SE
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98058-3807
Mailing Address - Country:US
Mailing Address - Phone:310-500-5774
Mailing Address - Fax:
Practice Address - Street 1:1662 MONROE CT SE STE C
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98058-3807
Practice Address - Country:US
Practice Address - Phone:310-500-5774
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-19
Last Update Date:2022-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide