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Individual

MRS. HUONG NGOC LUU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHLEMBOTOMIST ACSP E

Contact information

Practice address
7700 DUNEIDER LN, CITY MANASSAS, VA 20109
(571) 288-6728
(703) 365-2153
Mailing address
P.O. BOX 3408, MANASSAS, VA 20109
(571) 288-6728
(703) 365-2153

Taxonomy

Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
C.E.K.G.T67011813000
NC
202K00000X
Phlebology Physician
Primary
PBT3118ASCP
IL

Other

Enumeration date
06/26/2013
Last updated
06/26/2013
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