Provider Demographics
NPI:1356580815
Name:NOH, MYUNG SOOK (DAOM, DIPLOM, LAC)
Entity type:Individual
Prefix:
First Name:MYUNG
Middle Name:SOOK
Last Name:NOH
Suffix:
Gender:F
Credentials:DAOM, DIPLOM, LAC
Other - Prefix:
Other - First Name:MYUNG S.
Other - Middle Name:VERONICA
Other - Last Name:NOH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DAOM, DIPLOMLAC,
Mailing Address - Street 1:3012 JAMES ST
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031-1110
Mailing Address - Country:US
Mailing Address - Phone:703-242-0639
Mailing Address - Fax:703-255-1374
Practice Address - Street 1:3012 JAMES ST.
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-1110
Practice Address - Country:US
Practice Address - Phone:703-242-0639
Practice Address - Fax:703-255-1374
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-06
Last Update Date:2009-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001093288163W00000X
VA0121000172171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No163W00000XNursing Service ProvidersRegistered Nurse