Organization
SHANGHAI CHINESE MEDICINE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HELMSLEY JESOON PARK L.AC (SENIOR PRACTITIONER)
(703) 338-1400
Entity
Organization
Contact information
Practice address
2102 GALLOWS RD # C, VIENNA, VA 22182-3960
(703) 821-1798
(703) 506-9111
Mailing address
2102 GALLOWS RD # C, VIENNA, VA 22182-3960
(703) 821-1798
(703) 506-9111
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
0121000285
VA
Other
Enumeration date
03/27/2008
Last updated
03/27/2008
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