Organization
IRIS WELLNESS CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIO HAMASAKI D.O.M., L.AC. (OWNER)
(703) 672-1232
Entity
Organization
Contact information
Practice address
9667 MAIN ST., SUITE B, FAIRFAX, VA 22031
(703) 672-1232
Mailing address
9667 MAIN ST., SUITE B, FAIRFAX, VA 22031
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
08/14/2023
Last updated
08/15/2023
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