| Taijiclub.live | |
|
7008 Catlett St Springfield VA 22151-3901 | |
| (703) 776-0630 | |
| Not Available |
| Full Name | Taijiclub.live |
|---|---|
| Speciality | Clinic/center |
| Location | 7008 Catlett St, Springfield, Virginia |
| Authorized Official Name and Position | Matthew L. Stampe (ACUPUNCTURIST) |
| Authorized Official Contact | 7037760630 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Taijiclub.live 7008 Catlett St Springfield VA 22151-3901 Ph: (703) 776-0630 | Taijiclub.live 7008 Catlett St Springfield VA 22151-3901 Ph: (703) 776-0630 |
| NPI Number | 1265046700 |
|---|---|
| Provider Enumeration Date | 09/02/2020 |
| Last Update Date | 09/02/2020 |
| Certification Date | 09/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265046700 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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