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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