Individual
AH REUM PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7620 LITTLE RIVER TPKE, SUITE 101, ANNANDALE, VA 22003-2620
(703) 750-0577
Mailing address
10602 DAYSAILER DR, FAIRFAX STATION, VA 22039-1902
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
0121000798
VA
Other
Enumeration date
06/15/2016
Last updated
11/26/2021
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