Individual
DION MARCELLUS BLACKMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC
Contact information
Practice address
10560 MAIN ST STE 403, FAIRFAX, VA 22030-7174
(703) 594-9157
Mailing address
10560 MAIN ST STE 403, FAIRFAX, VA 22030-7174
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
0121001177
VA
171100000X
Acupuncturist
U03052
MD
Other
Enumeration date
09/23/2024
Last updated
12/15/2024
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