Individual
CHARLOTTE M FANDEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
11408 LINKS DR, RESTON, VA 20190-4810
(703) 626-4326
Mailing address
11408 LINKS DR, RESTON, VA 20190-4810
(703) 626-4326
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
0121000283
VA
Other
Enumeration date
07/26/2011
Last updated
07/26/2011
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