Individual
YONGKYO SHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5551 STROUD CT, CENTREVILLE, VA 20120-5207
(703) 789-3122
Mailing address
5551 STROUD CT, CENTREVILLE, VA 20120-5207
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104557633
VA
Other
Enumeration date
03/21/2020
Last updated
03/21/2020
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