Individual
THI ANH VU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
3085 NUTLEY ST, FAIRFAX, VA 22031-1931
(703) 281-7771
Mailing address
4525 FILLINGAME DR, CHANTILLY, VA 20151-2820
(415) 864-9220
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
0121000827
VA
Other
Enumeration date
02/10/2017
Last updated
02/10/2017
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