Individual
JUNG SOOK HAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T
Contact information
Practice address
7700 LITTLE RIVER TPKE, SUITE 100A-1, ANNANDALE, VA 22003-2406
(703) 752-4623
Mailing address
7700 LITTLE RIVER TPKE, SUITE 100A-1, ANNANDALE, VA 22003-2406
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019004519
VA
Other
Enumeration date
07/07/2016
Last updated
07/07/2016
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