Wynn Wellness Center LLC

NPI #1770031916 in Fairfax, Virginia

Provider Information

NPI Number: 1770031916
Entity Type: Organization
Organization Name: Wynn Wellness Center LLC
Primary Specialty: Chiropractor
Enumeration Date: Sep 16, 2016
Last Updated: Sep 16, 2016

Practice Location

Address: 8500 EXECUTIVE PARK AVE
Address 2: SUITE 308
City: Fairfax
State: Virginia
ZIP Code: 22031-2225
Phone: (703) 810-3311

Authorized Official

Name: VU H NGUYEN, D.C.
Title: PRESIDENT
Phone: (703) 810-3311

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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