Organization
IT IS ENT, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ESTELLE YOO (PRINCIPAL)
(571) 447-9136
Entity
Organization
Contact information
Practice address
2210 MOUNT VERNON AVE, SUITE 205, ALEXANDRIA, VA 22301-1361
(571) 447-9136
Mailing address
PO BOX 30904, ALEXANDRIA, VA 22310-8904
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
0101256962
VA
Other
Enumeration date
04/24/2017
Last updated
04/24/2017
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