| Ginkgo Care Llc | |
|
13777 Musket Ct Woodbridge VA 22193-4425 | |
| (703) 409-9796 | |
| Not Available |
| Full Name | Ginkgo Care Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 13777 Musket Ct, Woodbridge, Virginia |
| Authorized Official Name and Position | Shawn Pham (SOCIAL WORKER) |
| Authorized Official Contact | 3019608430 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ginkgo Care Llc 13777 Musket Ct Woodbridge VA 22193-4425 Ph: (703) 409-9796 | Ginkgo Care Llc 13777 Musket Ct Woodbridge VA 22193-4425 Ph: (703) 409-9796 |
| NPI Number | 1740048990 |
|---|---|
| Provider Enumeration Date | 03/12/2024 |
| Last Update Date | 03/12/2024 |
| Certification Date | 03/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740048990 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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