Individual
YEN NGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
871 FIVE FORKS RD, VIRGINIA BEACH, VA 23455-4716
(571) 474-6826
Mailing address
871 FIVE FORKS RD, VIRGINIA BEACH, VA 23455-4716
(571) 474-6826
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
01/22/2020
Last updated
01/22/2020
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