| NPI | 1265046700 |
|---|---|
| Doing Business As | TAIJICLUB.LIVE |
| Entity Type | Organization |
| Authorized Contact | MATTHEW L. STAMPE Acupuncturist 703-776-0630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2020-09-02 |
| Last Update Date | 2020-09-02 |