Individual
JENNA KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25421 EASTERN MARKETPLACE PLZ, CHANTILLY, VA 20152-5780
(703) 327-7817
Mailing address
25421 EASTERN MARKETPLACE PLZ, CHANTILLY, VA 20152-5780
(703) 327-7817
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202215189
VA
Other
Enumeration date
08/01/2016
Last updated
08/01/2016
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