Individual
KWANGSUNG KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7127 LITTLE RIVER TPKE STE C, ANNANDALE, VA 22003-3314
(703) 946-0958
Mailing address
7400 LUCERNE LN, #202, ANNANDALE, VA 22003-2749
(703) 850-8202
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019009773
VA
Other
Enumeration date
01/06/2014
Last updated
01/06/2014
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