Individual
JINHEE KANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH,D ECSE
Contact information
Practice address
6506 LOISDALE RD, STE 300, SPRINGFIELD, VA 22150-1824
(703) 924-4100
Mailing address
6442 ORLAND ST, FALLS CHURCH, VA 22043-1946
(703) 538-4974
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
PGP-0611393
VA
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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