Organization
GRAVITY SPINE LLC
Active
Other names
Gravity Spine and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYUNG JAE LEE DC (OWNER/ CHIROPRACTOR)
(703) 520-9980
Entity
Organization
Contact information
Practice address
209 ELDEN ST STE 302, HERNDON, VA 20170-4847
(703) 520-9980
(571) 403-9403
Mailing address
209 ELDEN ST STE 302, HERNDON, VA 20170-4847
(703) 520-9980
(571) 403-9403
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
03/24/2020
Last updated
03/24/2020
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