Individual
KYUNGJIN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13600 JEFFERSON DAVIS HWY, WOODBRIDGE, VA 22191-2018
(703) 494-3126
Mailing address
13600 JEFFERSON DAVIS HWY, WOODBRIDGE, VA 22191-2018
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202219134
VA
Other
Enumeration date
01/29/2021
Last updated
01/29/2021
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