Individual
SI N/A CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11703 BOWMAN GREEN DR, SUITE 100, RESTON, VA 20190
(571) 325-9393
Mailing address
11663 CHARTER OAK CT APT 202, RESTON, VA 20190-4534
(571) 314-6251
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019018570
VA
Other
Enumeration date
11/23/2023
Last updated
01/12/2024
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