Individual
CLOTILDA CHOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4740 PEARSON DR, WOODBRIDGE, VA 22193-5413
(240) 425-2388
(877) 543-9437
Mailing address
15503 SYMONDSBURY WAY, UPPER MARLBORO, MD 20774-8045
(240) 425-2388
(877) 543-9437
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R205638
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47-3317137
N/A
—
Enumeration date
11/25/2017
Last updated
05/23/2023
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