Individual
YEUN SU KO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3840 LIGHTFOOT ST UNIT 249, CHANTILLY, VA 20151-3025
(703) 474-2363
Mailing address
3840 LIGHTFOOT ST UNIT 249, CHANTILLY, VA 20151-3025
(703) 474-2363
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/25/2019
Last updated
09/25/2019
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