Organization
REVIVAL ACUPUNCTURE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RHEA KIM L.AC (ACUPUNCTURIST)
(571) 301-9661
Entity
Organization
Contact information
Practice address
9685 MAIN ST STE C, FAIRFAX, VA 22031-3752
(301) 747-5336
Mailing address
4277 SLEEPY LAKE DR, FAIRFAX, VA 22033-2864
(301) 747-5336
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
12/14/2024
Last updated
02/04/2026
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