Guan Yuan PLLC
Clinic/Center in Springfield, VA. Organization (NPI-2).
NPI number1265046700
StatusActive
Last updated in NPPESSep 2, 2020
Details
- NPI
- 1265046700
- Entity type
- Organization (NPI-2)
- Legal business name
- Guan Yuan PLLC
- Organization subpart
- No
- Enumeration date
- Sep 2, 2020
- Certification date
- Sep 2, 2020
- Last updated
- Sep 2, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Other names
- Taijiclub.Live (Doing Business As)
Practice location
7008 Catlett StSpringfield, VA 22151-3901
Phone 703-776-0630
Mailing address
7008 Catlett StSpringfield, VA 22151-3901
Phone 703-776-0630
Authorized official
Matthew L. Stampe
Acupuncturist
7037760630
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