Organization
DANTE SALON AND WELLNES SPA
Active
Organization
DANTE SALON AND WELLNES SPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER MARY LEE D.C. (PRESIDENT)
(703) 352-2800
Entity
Organization
Contact information
Practice address
3943 OLD LEE HWY, FAIRFAX, VA 22030-2401
(703) 352-2800
(703) 352-8026
Mailing address
3943 OLD LEE HWY, FAIRFAX, VA 22030-2401
(703) 352-2800
(703) 352-8026
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
0104555856
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002283254002
UNITED HEALTHCARE
VA
01
—
292274
ANTHEM
VA
01
—
G899-0001
CAREFIRST BCBS
VA
Enumeration date
05/16/2007
Last updated
08/22/2020
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