South Baylo Clinic

NPI #1063844421 in Annandale, Virginia

Provider Information

NPI Number: 1063844421
Entity Type: Organization
Organization Name: South Baylo Clinic
Primary Specialty: Acupuncturist
Enumeration Date: Aug 7, 2013
Last Updated: Aug 7, 2013

Practice Location

Address: 7535 LITTLE RIVER TURNPIKE
Address 2: 310E
City: Annandale
State: Virginia
ZIP Code: 22003
Phone: (703) 642-7527

Authorized Official

Name: MR. TAE O KIM
Title: FINANCIAL OFFICER
Phone: (703) 762-6048

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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