Individual
MR. MANSOO HAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
7031 LITTLE RIVER TPKE, ANNANDALE, VA 22003-5958
(703) 354-4949
Mailing address
7031 LITTLE RIVER TPKE, ANNANDALE, VA 22003-5958
(703) 354-4949
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1101003529T
VA
Other
Enumeration date
02/03/2009
Last updated
02/03/2009
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