Individual
HEESUN PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3801 UNIVERSITY DR FL 3, FAIRFAX, VA 22030-2503
(703) 383-8130
Mailing address
11410 RESTON STATION BLVD APT 337, RESTON, VA 20190-5415
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
Other
Enumeration date
06/13/2025
Last updated
06/30/2025
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