Individual
MS. JULIA BALLANCE MANDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
7130 MINSTREL WAY, SUITE 160, COLUMBIA, MD 21045-5201
(703) 674-9230
Mailing address
11714 WINTERWAY LN, FAIRFAX STATION, VA 22039-2133
(703) 674-9230
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
U02110
MD
Other
Enumeration date
10/29/2013
Last updated
12/22/2014
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