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Individual

JOANNE JUNGSUN IM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D, LAC.

Contact information

Practice address
8300 OLD COURTHOUSE RD, SUITE 220, VIENNA, VA 22182-3822
(703) 595-9082
Mailing address
8300 OLD COURTHOUSE RD, SUITE 220, VIENNA, VA 22182-3822
(703) 595-9082

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
0121000533
VA
171100000X
Acupuncturist
AC 11413
CA

Other

Enumeration date
12/31/2007
Last updated
09/27/2009
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