Individual
EUNKYUNG LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14000 WORTH AVE, WOODBRIDGE, VA 22192-4121
(703) 497-2690
Mailing address
5626 KYLE DR, CENTREVILLE, VA 20120-1993
(703) 587-4626
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202207059
VA
Other
Enumeration date
10/29/2020
Last updated
10/29/2020
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