Individual
LEE SEOB PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
14701 LEE HWY, SUITE 307, CENTREVILLE, VA 20121-2137
(703) 543-4810
(703) 543-4811
Mailing address
14701 LEE HWY, SUITE 307, CENTREVILLE, VA 20121-2137
(703) 543-4810
(703) 543-4811
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104556574
VA
Other
Enumeration date
08/09/2011
Last updated
09/14/2021
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