Individual
MS. CONSUELO C KERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
8500 EXECUTIVE PARK AVENUE, #300, FAIRFAX, VA 22031-4647
(703) 698-7117
(703) 698-5729
Mailing address
8500 EXECUTIVE PARK AVENUE, #300, FAIRFAX, VA 22031-4647
(703) 698-7117
(703) 698-5729
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
0121000336
VA
Other
Enumeration date
12/06/2006
Last updated
07/21/2022
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