Individual
JIAXI HU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1340 OLD CHAIN BRIDGE RD, MC LEAN, VA 22101-3955
(551) 482-3998
Mailing address
1328 LESSARD LN, MC LEAN, VA 22101-3630
(551) 482-3998
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/20/2022
Last updated
05/20/2022
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