Individual
JAHKIA K KOOMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2501 PARKERS LN, ALEXANDRIA, VA 22306-3209
(703) 664-7000
Mailing address
2927 TRUFFLE OAK PL, WOODBRIDGE, VA 22191-7519
(703) 309-2972
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0110-007517
VA
363A00000X
Physician Assistant
Primary
0110007517
VA
Other
Enumeration date
01/15/2021
Last updated
07/21/2022
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