Organization
ILLUMINATION, LLC
Active
Other names
Lotus Acupuncture and Holistic Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAYNE F DABU DAOM,L.AC., DIPL.AC. (PRESIDENT)
(757) 431-0053
Entity
Organization
Contact information
Practice address
1492 S INDEPENDENCE BLVD., STE 102, VIRGINIA BEACH, VA 23462-5252
(757) 431-0053
(757) 431-0053
Mailing address
1492 S INDEPENDENCE BLVD., STE 102, VIRGINIA BEACH, VA 23462-5252
(757) 431-0053
(757) 431-0053
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
0121000588
VA
Other
Enumeration date
04/29/2014
Last updated
03/14/2025
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