Provider Demographics
NPI:1023742830
Name:YOON, DAEJUN
Entity type:Individual
Prefix:
First Name:DAEJUN
Middle Name:
Last Name:YOON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10303 APPALACHIAN CIR APT 210
Mailing Address - Street 2:
Mailing Address - City:OAKTON
Mailing Address - State:VA
Mailing Address - Zip Code:22124-2773
Mailing Address - Country:US
Mailing Address - Phone:703-454-6413
Mailing Address - Fax:
Practice Address - Street 1:10303 APPALACHIAN CIR APT 210
Practice Address - Street 2:
Practice Address - City:OAKTON
Practice Address - State:VA
Practice Address - Zip Code:22124-2773
Practice Address - Country:US
Practice Address - Phone:703-454-6413
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-16
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health