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NPI 1154870145

IndividualActive

Yen Logan

NPI 1154870145 · VA Clinic/Center · Woodbridge, VA

Provider details

NPI number: 1154870145
Entity type: Individual
Primary specialty: VA Clinic/CenterAmbulatory Health Care Facilities
Sex: Female
Sole proprietor: Yes
License: 0202205698 (VA)

Practice location

14139 Potomac Mills Rd

Woodbridge, VA 22192-4644

Phone: (703) 490-8400

More VA providers

Mailing address

14139 Potomac Mills Rd

Woodbridge, VA 22192-4644

Registry dates

Enumerated: 2016-10-01
Last updated: 2016-10-01

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Yen Logan — NPI 1154870145, Woodbridge, VA | NPI Central