| Javan Wellness Ballston Llc | |
|
4000 Wilson Blvd Ste D Arlington VA 22203-4401 | |
| (301) 962-4278 | |
| Not Available |
| Full Name | Javan Wellness Ballston Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 4000 Wilson Blvd Ste D, Arlington, Virginia |
| Authorized Official Name and Position | Ehsan Abdeshahian (OWNER) |
| Authorized Official Contact | 3019624278 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Javan Wellness Ballston Llc 4000 Wilson Blvd Ste D Arlington VA 22203-4401 Ph: () - | Javan Wellness Ballston Llc 4000 Wilson Blvd Ste D Arlington VA 22203-4401 Ph: (301) 962-4278 |
| NPI Number | 1720639503 |
|---|---|
| Provider Enumeration Date | 09/24/2019 |
| Last Update Date | 09/24/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720639503 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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