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Individual

MR. YONG FU SHAO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LAC

Contact information

Practice address
11094 LEE HWY, D101, FAIRFAX CITY, VA 22030
(703) 209-8599
(703) 802-0858
Mailing address
11094 LEE HWY, D101, FAIRFAX CITY, VA 22030
(703) 209-8599
(703) 802-0858

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0121-000098
VIRGINIA BOARD OF MEDICINE ISSUED
Enumeration date
12/17/2008
Last updated
12/17/2008
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