Organization
JAVAN WELLNESS BALLSTON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EHSAN ABDESHAHIAN (OWNER)
(301) 962-4278
Entity
Organization
Contact information
Practice address
4000 WILSON BLVD STE D, ARLINGTON, VA 22203-4401
(301) 962-4278
Mailing address
4000 WILSON BLVD STE D, ARLINGTON, VA 22203-4401
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/24/2019
Last updated
09/24/2019
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