Individual
YUDAN FAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1808N.QUINN ST. APT.616, ARLINGTON, VA 22209
(703) 395-4619
Mailing address
1808N.QUINN ST. APT.616, ARLINGTON, VA 22209
(703) 395-4619
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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