Individual
PENGYANG JIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
918 W MERCURY BLVD, HAMPTON, VA 23666-4323
(757) 262-2188
Mailing address
203 KINNAKEET RUN, YORKTOWN, VA 23693-2768
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202213151
VA
Other
Enumeration date
11/18/2020
Last updated
11/18/2020
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