Organization
GUAN YUAN PLLC
Active
Other names
taijiclub.live
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW L. STAMPE LAC (ACUPUNCTURIST)
(703) 776-0630
Entity
Organization
Contact information
Practice address
7008 CATLETT ST, SPRINGFIELD, VA 22151-3901
(703) 776-0630
Mailing address
7008 CATLETT ST, SPRINGFIELD, VA 22151-3901
(703) 776-0630
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/02/2020
Last updated
09/02/2020
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