Provider Demographics
NPI:1467096511
Name:JH WELLNESS,LLC
Entity Type:Organization
Organization Name:JH WELLNESS,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JIANQIN
Authorized Official - Middle Name:
Authorized Official - Last Name:HE
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:571-655-1589
Mailing Address - Street 1:6116 ROLLING RD STE 216
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22152-1512
Mailing Address - Country:US
Mailing Address - Phone:571-655-1589
Mailing Address - Fax:571-292-3272
Practice Address - Street 1:6116 ROLLING RD STE 216
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:VA
Practice Address - Zip Code:22152-1512
Practice Address - Country:US
Practice Address - Phone:571-655-1589
Practice Address - Fax:571-292-3272
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-01
Last Update Date:2019-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty