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Individual

GUIFANG XUE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.AC, MSA, MSOM

Contact information

Practice address
11551 NUCKOLS RD STE N, GLEN ALLEN, VA 23059-5565
(585) 485-9963
Mailing address
1417 N 25TH ST, RICHMOND, VA 23223-5205
(585) 485-9963

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
0121000962
VA
171100000X
Acupuncturist
261QH0100X
Health Service Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0121000962
LICENSE ACUPUNCTURIST
VA
01
B64209857
DRIVER LICENSE
VA
Enumeration date
12/01/2020
Last updated
10/27/2021
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