Organization
HOLLY INTEGRATED MEDICINE,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAOYUN WANG OM (MANAGER)
(571) 232-4976
Entity
Organization
Contact information
Practice address
9520A ROUTE 29, FAIRFAX, VA 22031-2303
(571) 232-4976
(703) 297-8179
Mailing address
8883 OLIVE MAE CIR, FAIRFAX, VA 22031-1479
(571) 232-4976
(703) 297-8179
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
01/05/2026
Last updated
01/05/2026
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