Provider Demographics
NPI:1730747940
Name:DALENCOUR, YAURI SABRINTHIA
Entity type:Individual
Prefix:
First Name:YAURI
Middle Name:SABRINTHIA
Last Name:DALENCOUR
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 1:11621 SOURWOOD LN
Mailing Address - Street 2:
Mailing Address - City:RESTON
Mailing Address - State:VA
Mailing Address - Zip Code:20191-3011
Mailing Address - Country:US
Mailing Address - Phone:917-346-0043
Mailing Address - Fax:
Practice Address - Street 1:11621 SOURWOOD LN
Practice Address - Street 2:
Practice Address - City:RESTON
Practice Address - State:VA
Practice Address - Zip Code:20191-3011
Practice Address - Country:US
Practice Address - Phone:917-346-0043
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-03
Last Update Date:2019-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula