Individual
MS. TAEJEAN CONVERTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DOM, MSOM, LAC
Contact information
Practice address
8909 DAY LILLY CT, FAIRFAX, VA 22031-1464
(703) 864-3636
Mailing address
8909 DAY LILLY CT, FAIRFAX, VA 22031-1464
(703) 864-3636
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
11/06/2019
Last updated
10/03/2020
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