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Organization
RESTORE BALANCE INTEGRATIVE MEDICINE PLLC
Active
Organization
RESTORE BALANCE INTEGRATIVE MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANCA I SISU MD (OWNER)
(703) 215-2454
Entity
Organization
Contact information
Practice address
5236 DAWES AVE, ALEXANDRIA, VA 22311-1404
(703) 215-2454
Mailing address
2308 MOUNT VERNON AVE STE 757, ALEXANDRIA, VA 22301-1328
(703) 215-2454
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/12/2019
Last updated
06/26/2020
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