Organization
ACUPUNCTURE AND HERBOLOGY CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENTON WADSWORTH (OWNER)
(571) 258-0288
Entity
Organization
Contact information
Practice address
215 S KING ST, LEESBURG, VA 20175-2905
(571) 258-0288
Mailing address
215 S KING ST, LEESBURG, VA 20175-2905
(571) 258-0288
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
03/06/2018
Last updated
03/06/2018
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