Individual
MRS. HEESOOK KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7004 LITTLE RIVER TPKE STE B, ANNANDALE, VA 22003-3201
(703) 489-0448
Mailing address
13566 PLUMBAGO DR, CENTREVILLE, VA 20120-2702
(703) 489-0448
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019015552
VA
Other
Enumeration date
02/06/2020
Last updated
02/06/2020
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