Provider Demographics
NPI:1821330853
Name:HO, LINH M
Entity Type:Individual
Prefix:MISS
First Name:LINH
Middle Name:M
Last Name:HO
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:LINH
Other - Middle Name:M
Other - Last Name:HO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:5121 TRAVIS EDWARD WAY APT D
Mailing Address - Street 2:
Mailing Address - City:CENTREVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20120-3065
Mailing Address - Country:US
Mailing Address - Phone:703-220-3978
Mailing Address - Fax:
Practice Address - Street 1:14139 POTOMAC MILLS RD
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22192-4644
Practice Address - Country:US
Practice Address - Phone:703-490-7880
Practice Address - Fax:703-490-7898
Is Sole Proprietor?:No
Enumeration Date:2013-03-15
Last Update Date:2013-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202013138183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist