| NPI | 1740389329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KI WON CHANG President 703-916-0303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104556012) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: VA 0104556321) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2012-04-10 |