Organization
ALDA MEDISPA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIJUNG LEE (GENERAL PARTNER)
(571) 559-4990
Entity
Organization
Contact information
Practice address
13890 BRADDOCK RD STE 205, CENTREVILLE, VA 20121-2437
(571) 559-4990
Mailing address
13890 BRADDOCK RD STE 205, CENTREVILLE, VA 20121-2437
(571) 559-4990
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
01/22/2024
Last updated
03/10/2024
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