Individual
JI HOON MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1906 RESTON METRO PLZ STE 100, RESTON, VA 20190-5231
(703) 234-2970
Mailing address
1906 RESTON METRO PLZ STE 100, RESTON, VA 20190-5231
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202208259
VA
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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