Organization
NOVA GONSTEAD CHIROPRACTIC CLINIC PLLC
Active
Other names
Min Koo Kang
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIN KOO KANG D.C. (DIRECTOR)
(703) 638-3794
Entity
Organization
Contact information
Practice address
9514 LEE HWY, SUITE B, FAIRFAX, VA 22031-2303
(703) 359-6262
(703) 359-6263
Mailing address
9514 LEE HWY, SUITE B, FAIRFAX, VA 22031-2303
(703) 359-6262
(703) 359-6263
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104556856
VA
Other
Enumeration date
05/30/2012
Last updated
10/12/2016
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