Individual
JIN LUO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3700 JOSEPH SIEWICK DR STE 401, FAIRFAX, VA 22033-1745
(703) 715-9700
(703) 715-0202
Mailing address
7229 VELLEX LN, ANNANDALE, VA 22003-6029
(571) 346-9315
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
0024174383
VA
Other
Enumeration date
12/23/2019
Last updated
12/23/2019
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