| Javan Anti Aging And Wellness Institute | |
|
1626 U St Nw Washington DC 20009 | |
| (202) 868-5993 | |
| Not Available |
| Full Name | Javan Anti Aging And Wellness Institute |
|---|---|
| Speciality | Clinic/center |
| Location | 1626 U St Nw, Washington, District Of Columbia |
| Authorized Official Name and Position | Corinne A Parent (IV INFUSION THERAPY) |
| Authorized Official Contact | 3015095557 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Javan Anti Aging And Wellness Institute 1626 U St Nw Washington DC 20009-6210 Ph: (202) 868-5993 | Javan Anti Aging And Wellness Institute 1626 U St Nw Washington DC 20009 Ph: (202) 868-5993 |
| NPI Number | 1124596317 |
|---|---|
| Provider Enumeration Date | 11/06/2018 |
| Last Update Date | 11/28/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124596317 | NPI | - | NPPES |
| D0076873 | Other | MD | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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