Individual
HYESIN PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4229 LAFAYETTE CENTER DR STE 1350, CHANTILLY, VA 20151-1268
(571) 206-1577
Mailing address
13929 ANTONIA FORD CT, CENTREVILLE, VA 20121-3563
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
0121000944
VA
Other
Enumeration date
11/22/2019
Last updated
08/16/2021
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