Individual
MI SONG KONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
4208 EVERGREEN LN, ANNANDALE, VA 22003-3235
(703) 642-2288
Mailing address
309 LANNON CT, ALEXANDRIA, VA 22304-8636
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024182544
VA
Other
Enumeration date
12/14/2021
Last updated
12/14/2021
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