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Individual

MRS. SUK JA AN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICMASSAGE THERAPIST

Contact information

Practice address
8109 HINSON FARM RD STE 515, ALEXANDRIA, VA 22306-3427
(703) 765-7275
Mailing address
10350 LURIA COMMONS CT # 3G, BURKE, VA 22015-2824
(703) 989-1933

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019018547
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1935175
MASSAGE THERAPIST
VA
Enumeration date
04/12/2022
Last updated
04/12/2022
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