Individual
KATHERINE SUH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13012 RED ADMIRAL PL, FAIRFAX, VA 22033-3725
(703) 405-4412
Mailing address
13012 RED ADMIRAL PL, FAIRFAX, VA 22033-3725
(703) 405-4412
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001245906
VA
163W00000X
Registered Nurse
RN1038718
DC
Other
Enumeration date
08/13/2015
Last updated
08/13/2015
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