Individual
RACHEL NGERNMANEEPOTHONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6862 ELM ST, SUITE 600, MC LEAN, VA 22101-3897
(703) 992-0649
(703) 992-6419
Mailing address
6862 ELM ST, SUITE 600, MC LEAN, VA 22101-3897
(703) 992-0649
(703) 992-6419
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101252798
VA
Other
Enumeration date
05/29/2009
Last updated
12/30/2020
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