Individual
KOREY YNGSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1850 TOWN CENTER PKWY STE 400, RESTON, VA 20190-3300
(703) 810-5202
Mailing address
7544 JACQUE RD., HUDSON, FL 34667
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0102208649
VA
207X00000X
Orthopaedic Surgery Physician
OS17639
FL
Other
Enumeration date
04/14/2015
Last updated
08/22/2024
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