Provider Demographics
NPI:1992278071
Name:YOON, SEOL
Entity type:Individual
Prefix:
First Name:SEOL
Middle Name:
Last Name:YOON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8340 GREENSBORO DR UNIT 706
Mailing Address - Street 2:
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22102-3545
Mailing Address - Country:US
Mailing Address - Phone:571-337-8402
Mailing Address - Fax:
Practice Address - Street 1:8340 GREENSBORO DR UNIT 706
Practice Address - Street 2:
Practice Address - City:MC LEAN
Practice Address - State:VA
Practice Address - Zip Code:22102-3545
Practice Address - Country:US
Practice Address - Phone:571-337-8402
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-10
Last Update Date:2019-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist