| Geunjae Clinic Llc. | |
|
14641 Lee Hwy, Ste D-6, Centreville, VA 20121-2112 | |
| (703) 625-7116 | |
| Not Available |
| Full Name | Geunjae Clinic Llc. |
|---|---|
| Type | Facility |
| Speciality | Acupuncturist |
| Location | 14641 Lee Hwy, Ste D-6, Centreville, Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952853798 | NPI | - | NPPES |
| 0121000725 | Other | VA | L.AC |
| 0121000725 | Other | VA | ACUPUNCTURIST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 171100000X | Acupuncturist | 0121000725 (Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Geunjae Clinic Llc. 14641 Lee Hwy, D-6, Centreville, VA 20121-2112 Ph: (703) 625-7116 | Geunjae Clinic Llc. 14641 Lee Hwy, Ste D-6, Centreville, VA 20121-2112 Ph: (703) 625-7116 |
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