Search › Virginia › 183500000X
Jeannie Park
NPI 1639760184 · on the registry since 2021 · sole proprietor
Practice
- Address
- 13704 Black Spruce Way
Chantilly, VA 20151 - Phone
- (703) 475-4909
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-01-28
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