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Organization

MIRA INTEGRATIVE CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MAYSOUN HAMID MIRA MD, MSA, L.AC (ACUPUNCTURIST)
(703) 732-9915
Entity
Organization

Contact information

Practice address
2557 CHAIN BRIDGE RD, VIENNA, VA 22181-5517
(703) 705-7555
Mailing address
2701 CHAIN BRIDGE RD, VIENNA, VA 22181-5302
(703) 732-9915

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary

Other

Enumeration date
09/26/2022
Last updated
09/26/2022
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