# RESTORE BALANCE INTEGRATIVE MEDICINE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215596218
- **Authorized official:** DR. ANCA I SISU MD (OWNER)
- **Authorized official phone:** (703) 215-2454

## Contact information

- **Practice address:** 5236 DAWES AVE, ALEXANDRIA, VA 22311-1404
- **Practice address phone:** (703) 215-2454
- **Mailing address:** 2308 MOUNT VERNON AVE STE 757, ALEXANDRIA, VA 22301-1328
- **Mailing address phone:** (703) 215-2454

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/12/2019
- **Last updated:** 06/26/2020