Jea Yeon Shin
NPI #1891396735 in Lake Ridge, Virginia
Provider Information
- NPI Number
- 1891396735
- Entity Type
- Individual
- Name
- Jea Yeon Shin
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Enumeration Date
- Nov 6, 2020
- Last Updated
- Nov 6, 2020
Practice Location
- Address
- 12445 HEDGES RUN DR
- City
- Lake Ridge
- State
- Virginia
- ZIP Code
- 22192-1715
- Phone
- (703) 491-7694
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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