Eastern Roots Wellness, Pl C

NPI #1437620614 in Mc Lean, Virginia

Provider Information

NPI Number: 1437620614
Entity Type: Organization
Organization Name: Eastern Roots Wellness, Pl C
Primary Specialty: Acupuncturist
Enumeration Date: Dec 16, 2018
Last Updated: Nov 10, 2021

Practice Location

Address: 1497 CHAIN BRIDGE RD STE 101
City: Mc Lean
State: Virginia
ZIP Code: 22101-5728
Phone: (571) 354-6643

Authorized Official

Name: DR. SARAH DAWN FAGGERT, DAC, LAC
Title: DOCTOR OF ACUPUNCTURE
Phone: (713) 354-6643

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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