Mary Elizabeth Gibbons, L.Ac., NCCAOM dipl.
Acupuncturist in Reston, VA. Individual provider (NPI-1).
NPI number1386863751
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1386863751
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Mary Elizabeth Gibbons
- Credential
- L.Ac., NCCAOM dipl.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 24, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171100000X | Acupuncturist | 0121000334 | VA | Yes |
Practice location
11250 Roger Bacon DrSuite 23
Reston, VA 20190-5219
Phone 703-231-5058
Mailing address
6207 Hardy DrMcLean, VA 22101-3115
Phone 703-893-1537
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