Provider Demographics
NPI:1326441825
Name:ABUNDANT SPLENDOR WELLNESS
Entity Type:Organization
Organization Name:ABUNDANT SPLENDOR WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SALSICH
Authorized Official - Suffix:
Authorized Official - Credentials:MAC, LAC
Authorized Official - Phone:202-688-1347
Mailing Address - Street 1:509 PEABODY ST NW
Mailing Address - Street 2:APT 4
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-2046
Mailing Address - Country:US
Mailing Address - Phone:202-688-1347
Mailing Address - Fax:
Practice Address - Street 1:2000 P ST NW
Practice Address - Street 2:SUITE 720
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-5915
Practice Address - Country:US
Practice Address - Phone:202-688-1347
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-29
Last Update Date:2014-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCAC500202171100000X
MDU02176171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty