Individual
THANH T YANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
5204A ROLLING RD, BURKE, VA 22015-1605
(703) 425-2000
Mailing address
9334 BURKE RD, BURKE, VA 22015-3373
(703) 978-1682
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618001579
VA
Other
Enumeration date
10/20/2006
Last updated
07/08/2007
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