MIN PARK

FAIRFAX, VA
NPI1619826476
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: VA  0024195870)
Enumeration Date2026-01-26
Last Update Date2026-01-26
Business Address
MIN PARK NP
11240 WAPLES MILL RD STE 300
FAIRFAX, VA 22030-6078
Phone number: 571-407-5042
Mailing Address
MIN PARK NP
11240 WAPLES MILL RD STE 300
FAIRFAX, VA 22030-6078
Phone number: 571-407-5042
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