Provider Demographics
NPI:1043490444
Name:RHEE, SOO (LAC)
Entity Type:Individual
Prefix:
First Name:SOO
Middle Name:
Last Name:RHEE
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:JOSEPH
Other - Middle Name:SOO
Other - Last Name:RHEE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:7535 LITTLE RIVER TPKE
Mailing Address - Street 2:SUITE 210A
Mailing Address - City:ANNANDALE
Mailing Address - State:VA
Mailing Address - Zip Code:22003-2937
Mailing Address - Country:US
Mailing Address - Phone:443-722-5314
Mailing Address - Fax:
Practice Address - Street 1:7535 LITTLE RIVER TPKE
Practice Address - Street 2:SUITE 210A
Practice Address - City:ANNANDALE
Practice Address - State:VA
Practice Address - Zip Code:22003-2937
Practice Address - Country:US
Practice Address - Phone:443-722-5314
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-14
Last Update Date:2007-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0121000322171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist