KIM SISOUK

FALLS CHURCH, VA
NPI1841755949
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: VA  0202215342)
Additional Taxonomies183500000X Pharmacist
(Licence: DC  PH100002630)
183500000X Pharmacist
(Licence: MD  24641)
Enumeration Date2019-02-04
Last Update Date2020-11-03
Business Address
Dr. KIM SISOUK PharmD
3480 S JEFFERSON ST
FALLS CHURCH, VA 22041-3104
Phone number: 703-931-1333
Mailing Address
Dr. KIM SISOUK PharmD
6710 PORTREE CT
SPRINGFIELD, VA 22152-2933
Phone number: 707-217-6997