Individual provider · NPI-1

Sandra C Corp, D.O.

Family Medicine · Vienna, VA

NPI number1316058985
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1316058985
Entity type
Individual (NPI-1)
Name
Sandra C Corp
Credential
D.O.
Sex
Female
Sole proprietor
No
Enumeration date
Aug 31, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine0102036916VAYes

Other names

  • Sandra V Chin (Former Name)

Practice location

100 Maple Ave E
Vienna, VA 22180-5723

Phone 703-938-5300 · Fax 703-242-0726

Mailing address

100 Maple Ave E
Vienna, VA 22180-5723

Phone 703-938-5300 · Fax 703-242-0726

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