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Wynn Wellness Center Llc
Chiropractor in Fairfax, Virginia
NPI 1770031916

Wynn Wellness Center Llc is a Chiropractor based in Fairfax, VA. Wynn Wellness Center Llc practices in Fairfax, VA. The NPI Number for Wynn Wellness Center Llc is 1770031916 and holds a License No. 0104556723 (Virginia).

The current practice location address for Wynn Wellness Center Llc is 8500 Executive Park Ave, Fairfax, VA and can be reached out via phone at 703-810-3311.

Location: 8500 Executive Park Ave, Fairfax, VA, 22031-2225
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1770031916
Provider Name
Wynn Wellness Center Llc
Credential
Provider Entity Type
Organization
Address
8500 Executive Park Ave, Fairfax, VA, 22031-2225
Phone Number
703-810-3311
Fax Number
Provider Enumeration Date
09/16/2016
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
149951 01 VA MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
8500 Executive Park Ave
City
Fairfax
State
Virginia
Zip
22031-2225
Phone Number
703-810-3311
Fax Number
person
Provider Business Mailing Address Details
Address
8500 Executive Park Ave
City
Fairfax
State
Virginia
Zip
22031-2225
Phone Number
703-810-3311
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
0104556723 (Virginia)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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