Organization
POTOMAC ACUCLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEUNG J PARK PH.D , L.AC (OWNER)
(770) 820-7163
Entity
Organization
Contact information
Practice address
9800 FALLS RD STE 101, POTOMAC, MD 20854-3939
(240) 802-0025
Mailing address
10615 GREAT ARBOR DR, POTOMAC, MD 20854-4220
(770) 820-7163
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
07/02/2019
Last updated
07/02/2019
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