| NPI | 1063844421 |
|---|---|
| Doing Business As | SOUTH BAYLO UNIVERSITY VA CLINIC |
| Entity Type | Organization |
| Authorized Contact | TAE O KIM Financial Officer 703-762-6048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: VA 0121000694) |
| Enumeration Date | 2013-08-07 |
| Last Update Date | 2013-08-07 |