Individual
MRS. BORA JIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8703 STONEWALL RD, SUITE 2-B, MANASSAS, VA 20110-8325
(703) 361-1955
Mailing address
3814 BRIGHTON CT, ALEXANDRIA, VA 22305-1571
(202) 494-0656
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110002192
VA
Other
Enumeration date
08/25/2006
Last updated
07/08/2007
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