Individual
DASEULI JEONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3903 FAIR RIDGE DR STE 209, FAIRFAX, VA 22033-2944
(703) 865-6490
Mailing address
3903 FAIR RIDGE DR STE 209, FAIRFAX, VA 22033-2944
(703) 865-6490
Taxonomy
Speciality
Code
Description
License number
State
207QB0002X
Obesity Medicine (Family Medicine) Physician
Primary
0024194635
VA
Other
Enumeration date
08/22/2025
Last updated
09/15/2025
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