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Individual

LESLIE JUNG HAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
7002 LITTLE RIVER TPKE, STE J, ANNANDALE, VA 22003-3200
(703) 715-7599
(571) 395-8289
Mailing address
7002 LITTLE RIVER TPKE, STE J, ANNANDALE, VA 22003-3200
(703) 715-7599
(571) 395-8289

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104557273
VA

Other

Enumeration date
04/15/2016
Last updated
01/05/2023
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