Individual
MISS JOOYON BAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
11445 SUNSET HILLS RD, RESTON, VA 20190-5276
(703) 709-1536
Mailing address
13544 GRAY BILL CT, CLIFTON, VA 20124-0912
(703) 631-0191
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202012085
VA
Other
Enumeration date
06/30/2009
Last updated
06/30/2009
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