Organization
PROCARE WELLNESS MCLEAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PUKAI JIN DOM (ACUPUNCTURIST)
(571) 207-6789
Entity
Organization
Contact information
Practice address
6888 ELM ST STE 2A, MC LEAN, VA 22101-3829
(571) 207-6789
Mailing address
6888 ELM ST STE 2A, MC LEAN, VA 22101-3829
(571) 207-6789
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
05/20/2025
Last updated
05/20/2025
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