Organization
CORE PAIN & WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER TAEJOO JEONG DC (PRESIDENT)
(703) 814-6650
Entity
Organization
Contact information
Practice address
10721 MAIN ST STE G7, FAIRFAX, VA 22030-6913
(703) 814-6650
Mailing address
10721 MAIN ST STE G7, FAIRFAX, VA 22030-6913
(703) 814-6650
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
07/25/2021
Last updated
07/25/2021
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