Individual
PHUONG-ANH THI CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3918 CENTREVILLE RD STE 5214, CHANTILLY, VA 20151-3224
(703) 657-6925
(410) 955-1719
Mailing address
5000 COX RD, GLEN ALLEN, VA 23060-9263
(804) 822-4355
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110004557
VA
Other
Enumeration date
05/05/2014
Last updated
11/22/2021
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