Individual
QIULU PAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14225 NEWBROOK DR, QUEST DIAGNOSTICS, CHANTILLY, VA 20151-2228
(703) 802-6900
Mailing address
14225 NEWBROOK DR, QUEST DIAGNOSTICS, CHANTILLY, VA 20151-2228
Taxonomy
Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
Primary
—
—
Other
Enumeration date
09/04/2012
Last updated
09/04/2012
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