Individual
QUANG VU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DACM, L.AC
Contact information
Practice address
4525 FILLINGAME DR, CHANTILLY, VA 20151-2820
(415) 864-9541
Mailing address
4525 FILLINGAME DR, CHANTILLY, VA 20151-2820
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
U02758
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
U02758
LICENSE ID
MD
Enumeration date
08/17/2020
Last updated
08/17/2020
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