Eun Joo Ko

Technician, Attendant Care Provider in Chantilly, VA. Individual provider (NPI-1).

NPI number1194366252

StatusActive

Last updated in NPPESSep 30, 2019

Details

NPI: 1194366252
Entity type: Individual (NPI-1)
Name: Eun Joo Ko
Sex: Female
Sole proprietor: Yes
Enumeration date: Sep 30, 2019
Last updated: Sep 30, 2019

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
3747A0650X	Technician, Attendant Care Provider	â€“	â€“	Yes

Practice location

25446 Stallion Branch Ter
Chantilly, VA 20152-5809

Phone 703-625-3981

Mailing address

25446 Stallion Branch Ter
Chantilly, VA 20152-5809

Phone 703-625-3981

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