Individual
UUGANBAYAR ENEBISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
115 PARK ST SE SUITE 300, VIENNA FAMILY MEDICINE, VIENNA, VA 22180-4653
(703) 255-9100
(703) 255-3457
Mailing address
115 PARK ST SE SUITE 300, VIENNA FAMILY MEDICINE, VIENNA, VA 22180-4653
(703) 255-9100
(703) 255-3457
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110002358
VA
Other
Enumeration date
05/23/2008
Last updated
11/10/2008
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