Individual
TIEN MA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7202 POPLAR ST STE E, ANNANDALE, VA 22003-3025
(571) 830-6195
Mailing address
7202 POPLAR ST STE E, ANNANDALE, VA 22003-3025
(571) 830-6195
(703) 671-8969
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
0024176681
VA
Other
Enumeration date
08/15/2018
Last updated
03/20/2019
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