Individual
MR. JE UN YOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC,M.AC,DIP'L.AC
Contact information
Practice address
4208 EVERGREEN LN, SUITE 224, ANNANDALE, VA 22003-3235
(703) 642-3300
Mailing address
4208 EVERGREEN LN, SUITE 224, ANNANDALE, VA 22003-3235
(703) 642-3300
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
0121000519
VA
171100000X
Acupuncturist
U01636
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0121000519
COMMONWELTH OF VIRGINIA
VA
01
—
108692
NCCAOM
—
01
—
U01636
STATE OF MARYLAND BOARD OF ACUPUNCTURE
MD
Enumeration date
03/09/2009
Last updated
03/09/2009
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