Individual
SOFIA JEONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15502 SMOKE BOX WAY, WOODBRIDGE, VA 22191-5589
(301) 590-5866
Mailing address
15502 SMOKE BOX WAY, WOODBRIDGE, VA 22191-5589
(571) 866-0944
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
07/02/2021
Last updated
02/17/2024
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