Individual
JACQUELINE KIM HOANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5502 BACKLICK RD, SPRINGFIELD, VA 22151-3904
(703) 642-8306
(703) 642-8342
Mailing address
5502 BACKLICK RD, SPRINGFIELD, VA 22151-3904
(703) 642-8306
(703) 642-8342
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101053611
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006727085
—
VA
Enumeration date
03/13/2007
Last updated
10/25/2012
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