Individual
JIE XU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13729 AUTUMN VALE CT, CHANTILLY, VA 20151-3544
(571) 276-0996
Mailing address
13729 AUTUMN VALE CT, CHANTILLY, VA 20151-3544
(571) 276-0996
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
12/10/2016
Last updated
12/10/2016
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