| NPI | 1578918801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOONGIL SHANNEN PARK Clinic Supervisor 703-407-8632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: MD u02313) |
| Enumeration Date | 2016-04-23 |
| Last Update Date | 2016-04-23 |