Organization
NUWAVE ACUPUNCTURE LLC
Active
Other names
NuWave Acupuncture and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAEJEAN CONVERTI MSOM, LAC (MEMBER)
(703) 864-3636
Entity
Organization
Contact information
Practice address
8909 DAY LILLY CT, FAIRFAX, VA 22031-1464
(703) 864-3636
Mailing address
8909 DAY LILLY CT, FAIRFAX, VA 22031-1464
(703) 864-3636
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
02/14/2020
Last updated
02/14/2020
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