Individual
JEAN YU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6300 LITTLE RIVER TPKE, ALEXANDRIA, VA 22312-1601
(703) 370-4856
Mailing address
42289 WATLING CT, CHANTILLY, VA 20152-6436
(703) 895-1094
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202207182
VA
Other
Enumeration date
11/24/2020
Last updated
11/24/2020
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