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Organization
ACUPUNCTURE & HERBS CLINIC
Active
Organization
ACUPUNCTURE & HERBS CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THUONG PHU L.AC. (ACUPUNCTURIST)
(703) 989-9711
Entity
Organization
Contact information
Practice address
7535 LITTLE RIVER TPKE STE 103A, ANNANDALE, VA 22003-2983
(571) 287-1764
Mailing address
5730 BACKLICK RD APT 202, SPRINGFIELD, VA 22150-3256
(703) 989-9711
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
AC500174
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1611 WDC 20010
WDC
—
Enumeration date
06/10/2014
Last updated
06/10/2014
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