Organization
RESTORE HEALTH OF VA LLC
Active
Organization
RESTORE HEALTH OF VA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANDON THOMPSON DC (OWNER)
(703) 777-1234
Entity
Organization
Contact information
Practice address
44121 HARRY BYRD HWY STE 120, ASHBURN, VA 20147-5668
(703) 777-1234
Mailing address
44121 HARRY BYRD HWY STE 120, ASHBURN, VA 20147-5668
(703) 777-1234
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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