Individual
DEBORAH JIAN YUAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4379 RIDGEWOOD CENTER DR STE 102, WOODBRIDGE, VA 22192-8323
(703) 680-7950
Mailing address
6158 LUCAS POND CT, BURKE, VA 22015-4050
(571) 839-5274
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024176515
VA
Other
Enumeration date
09/06/2018
Last updated
10/19/2018
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