Individual
JI YEON KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9200 CENTREVILLE RD, MANASSAS, VA 20110-5131
(703) 368-9146
Mailing address
9200 CENTREVILLE RD, MANASSAS, VA 20110-5131
(703) 368-9146
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202208251
VA
Other
Enumeration date
07/17/2024
Last updated
07/30/2024
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