Individual
ENLIN QING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11240 WAPLES MILL RD STE 101, FAIRFAX, VA 22030-6078
(703) 237-2219
(703) 237-2729
Mailing address
6713 FORSYTHIA ST, SPRINGFIELD, VA 22150-1104
(540) 533-5325
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/04/2019
Last updated
01/04/2019
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