| NPI | 1194037184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD SEUNG-WON BAEK Director 703-543-6788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104556727) |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2010-07-08 |