Organization
FOUR SEASONS ACUPUNCTURE & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WONSIK UM LAC (PRESIDENT)
(703) 717-8573
Entity
Organization
Contact information
Practice address
11130 FAIRFAX BLVD STE 204, FAIRFAX, VA 22030-5035
(703) 717-8573
(703) 563-9383
Mailing address
11130 FAIRFAX BLVD STE 204, FAIRFAX, VA 22030-5035
(703) 717-8573
(703) 563-9383
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
0121000772
VA
Other
Enumeration date
02/28/2018
Last updated
02/28/2018
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