Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
YEN LOGAN
Active Sole ProprietorVA Clinic · WOODBRIDGE, VA
Registration Details
- NPI Number
- 1154870145
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 1, 2016 (9.5565194228318 yrs)
- Last Updated
- Oct 1, 2016
- License
-
0202205698 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
14139 POTOMAC MILLS RDWOODBRIDGE, VA, 221924644Browse VA providers · Browse ZIP 22192
- Phone
- 7034908400
- Primary Specialty
-
VA Clinic
261QV0200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.