Organization
SEOUL ACUPUNCTURE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANGGOO LEE (ACUPUNCTURIST)
(703) 815-1870
Entity
Organization
Contact information
Practice address
13880 BRADDOCK RD STE 105, CENTREVILLE, VA 20121-2460
(703) 815-1870
Mailing address
13880 BRADDOCK RD STE 105, CENTREVILLE, VA 20121-2460
(703) 815-1870
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
12/21/2017
Last updated
12/21/2017
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