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Yen Logan

NPI 1154870145 · on the registry since 2016 · sole proprietor

Practice

Address
14139 Potomac Mills Rd
Woodbridge, VA 22192
Phone
(703) 490-8400
Clinicians at this address
79

Registry record

Primary taxonomy
261QV0200X
261QV0200X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-10-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia