Organization
IVY CLINIC FOR ACUPUNCTURE AND ORIENTAL MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. WEI HONG-REN LAC (CLINIC DIRECTOR)
(339) 223-6723
Entity
Organization
Contact information
Practice address
100 N WASHINGTON ST, SUITE 311, FALLS CHURCH, VA 22046-4523
(339) 223-6723
Mailing address
7209 HANSFORD CT, SPRINGFIELD, VA 22151-3000
(339) 223-6723
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
0121-000617
VA
Other
Enumeration date
10/22/2011
Last updated
10/22/2011
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