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Organization

EASTERN ROOTS WELLNESS, PL C

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SARAH DAWN FAGGERT DAC, LAC (DOCTOR OF ACUPUNCTURE)
(713) 354-6643
Entity
Organization

Contact information

Practice address
1497 CHAIN BRIDGE RD STE 101, MC LEAN, VA 22101-5728
(571) 354-6643
Mailing address
11017 BYRD DR, FAIRFAX, VA 22030-5331
(804) 955-0156

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary

Other

Enumeration date
12/16/2018
Last updated
11/10/2021
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