| NPI | 1912548314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHANITA SUVARNASUDDHI Owner 240-654-2608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X |
| Additional Taxonomies | 171100000X Acupuncturist |
| Enumeration Date | 2019-10-07 |
| Last Update Date | 2019-10-07 |