Individual
MRS. THUY NGOC LY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
186 MEADOWVIEW LN, WARRENTON, VA 20186-3847
(703) 627-9321
Mailing address
186 MEADOWVIEW LN, WARRENTON, VA 20186-3847
(703) 627-9321
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
984863
VA
Other
Enumeration date
11/09/2017
Last updated
06/16/2018
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