| NPI | 1760149272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANIE LE Owner 703-544-9355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 171100000X Acupuncturist |
| Enumeration Date | 2021-11-18 |
| Last Update Date | 2021-11-18 |