Integrative Medicine & Wellness | |
42029 Bushclover Terrace Aldie VA 20105 | |
(571) 659-4316 | |
(866) 611-2705 |
Full Name | Integrative Medicine & Wellness |
---|---|
Speciality | Internal Medicine |
Location | 42029 Bushclover Terrace, Aldie, Virginia |
Authorized Official Name and Position | Mariya Bourget (OWNER) |
Authorized Official Contact | 5716594316 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Integrative Medicine & Wellness 42029 Bushclover Terrace Aldie VA 20105 Ph: (571) 659-4316 | Integrative Medicine & Wellness 42029 Bushclover Terrace Aldie VA 20105 Ph: (571) 659-4316 |
NPI Number | 1386423804 |
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Provider Enumeration Date | 09/25/2023 |
Last Update Date | 09/25/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386423804 | NPI | - | NPPES |
VV1662B | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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