Individual
KATIE YOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2883 STAR OPAL DR, FAIRFAX, VA 22031-1354
(571) 331-1821
Mailing address
2883 STAR OPAL DR, FAIRFAX, VA 22031-1354
(057) 159-4405
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
025967
NY
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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