Organization
NORTHERN VIRGINIA ACUPUNCTURE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENTON WADSWORTH DACM, LAC (MEMBER)
(571) 417-8463
Entity
Organization
Contact information
Practice address
211 S KING ST STE C, LEESBURG, VA 20175-2905
(571) 417-8463
Mailing address
211 S KING ST STE C, LEESBURG, VA 20175-2905
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/03/2019
Last updated
08/03/2019
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