Yeun Su Ko
Technician, Attendant Care Provider in Chantilly, VA. Individual provider (NPI-1).
NPI number1639720154
StatusActive
Last updated in NPPESSep 25, 2019
Details
- NPI
- 1639720154
- Entity type
- Individual (NPI-1)
- Name
- Yeun Su Ko
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 25, 2019
- Last updated
- Sep 25, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747A0650X | Technician, Attendant Care Provider | – | – | Yes |
Practice location
3840 Lightfoot St Unit 249Chantilly, VA 20151-3025
Phone 703-474-2363
Mailing address
3840 Lightfoot St Unit 249Chantilly, VA 20151-3025
Phone 703-474-2363
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