Individual
JU RI JEONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3259 CATLIN AVE, QUANTICO, VA 22134-5109
(202) 604-9193
Mailing address
PSC 46 BOX 457, APO, AE 09469-0005
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202211407
VA
Other
Enumeration date
10/28/2012
Last updated
06/01/2020
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