Individual
SU JIN TUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1611 HERON WAY, WOODBRIDGE, VA 22191-3747
(571) 218-8993
Mailing address
1611 HERON WAY, WOODBRIDGE, VA 22191-3747
(571) 218-8993
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
VA
Other
Enumeration date
02/16/2023
Last updated
02/16/2023
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