Provider Demographics
NPI:1023325073
Name:CHOE, JUNG-OAK JOANNE (MS, RD)
Entity type:Individual
Prefix:MRS
First Name:JUNG-OAK
Middle Name:JOANNE
Last Name:CHOE
Suffix:
Gender:F
Credentials:MS, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9340 TOVITO DR
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031-3825
Mailing Address - Country:US
Mailing Address - Phone:703-772-1356
Mailing Address - Fax:
Practice Address - Street 1:9340 TOVITO DR
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-3825
Practice Address - Country:US
Practice Address - Phone:703-772-1356
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-10
Last Update Date:2016-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered