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Yen Logan
VA Clinic/Center in Woodbridge, Virginia
NPI 1154870145

Yen Logan is a VA Clinic/Center based in Woodbridge, VA and is specialized in VA. Yen Logan practices in Woodbridge, VA. The NPI Number for Yen Logan is 1154870145 and holds a License No. 0202205698 (Virginia).

The current practice location address for Yen Logan is 14139 Potomac Mills Rd, Woodbridge, VA and can be reached out via phone at 703-490-8400.

Location: 14139 Potomac Mills Rd, Woodbridge, VA, 22192-4644
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154870145
Provider Name
Yen Logan
Credential
Provider Entity Type
Individual
Gender
Female
Address
14139 Potomac Mills Rd, Woodbridge, VA, 22192-4644
Phone Number
703-490-8400
Fax Number
Provider Enumeration Date
10/01/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
14139 Potomac Mills Rd
City
Woodbridge
State
Virginia
Zip
22192-4644
Phone Number
703-490-8400
Fax Number
person
Provider Business Mailing Address Details
Address
14139 Potomac Mills Rd
City
Woodbridge
State
Virginia
Zip
22192-4644
Phone Number
703-490-8400
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
VA
Taxonomy
261QV0200X
License No.
0202205698 (Virginia)
Definition
Definition to come...
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