Organization
INOVA-SPH INSTITUTE OF TRADITIONAL CHINESE MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES SANTRY (EXECUTIVE VICE PRESIDENT)
(703) 289-2024
Entity
Organization
Contact information
Practice address
3833 NORTH FAIRFAX DRIVE, ARLINGTON, VA 22203
(571) 665-6700
Mailing address
8110 GATEHOUSE RD STE 200E, FALLS CHURCH, VA 22042-1210
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171100000X
—
VA
Enumeration date
01/19/2018
Last updated
01/19/2018
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