Organization
HOLYSTICK,LLC
Active
Other names
HolyStick, Holistic Care
Organization subpart
No
Provider details
NPI number
Authorized official
HANUL JUNG DOA (CEO)
(240) 945-8525
Entity
Organization
Contact information
Practice address
15200 SHADY GROVE RD STE 103, ROCKVILLE, MD 20850-3218
(240) 945-8525
(240) 901-4515
Mailing address
14428 HOMECREST RD, SILVER SPRING, MD 20906-1820
(240) 506-6549
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
225200000X
Physical Therapy Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0121000988
VIRGINIA DEPARTMENT OF HEALTH
VA
01
—
U02656
DHMH
MD
Enumeration date
04/03/2020
Last updated
11/29/2023
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