Organization
HOLYSTICK,LLC
Active
Other names
HolyStick,LLC, Medical Facility, Acupuncture, Ki-Bone
Organization subpart
No
Provider details
NPI number
Authorized official
HANUL JUNG DOA (CEO)
(240) 945-8525
Entity
Organization
Contact information
Practice address
8550 ROUTE 29 STE 720, FAIRFAX, VA 22031-1531
(703) 981-5085
(240) 901-4515
Mailing address
14428 HOMECREST RD, SILVER SPRING, MD 20906-1820
(240) 506-6549
(240) 901-4515
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
04/03/2020
Last updated
01/18/2026
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