Individual
JUSTIN JOSEPH SHORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
7310 HERITAGE VILLAGE PLZ, GAINESVILLE, VA 20155-3303
(571) 477-5290
Mailing address
7310 HERITAGE VILLAGE PLZ, GAINESVILLE, VA 20155-3303
(571) 477-5290
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
0121000652
VA
Other
Enumeration date
05/08/2013
Last updated
05/08/2013
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