Individual
RUN GUO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
301 MAPLE AVE W STE 210, VIENNA, VA 22180-4301
(703) 268-5558
Mailing address
3930 COLLIS OAK CT, FAIRFAX, VA 22033-2473
(786) 532-4722
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
0121-000840
VA
Other
Enumeration date
02/22/2017
Last updated
06/13/2022
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