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Individual

CHONNIPA HONGJAISEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1625 N GEORGE MASON DR STE 355, ARLINGTON, VA 22205
(703) 521-6662
Mailing address
1625 N GEORGE MASON DR STE 355, ARLINGTON, VA 22205-3690
(703) 521-6662

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110006932
VA

Other

Enumeration date
10/17/2018
Last updated
10/18/2019
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