Provider Demographics
NPI:1891319919
Name:HUANG, SEN (PHD, LAC,)
Entity Type:Individual
Prefix:DR
First Name:SEN
Middle Name:
Last Name:HUANG
Suffix:
Gender:M
Credentials:PHD, LAC,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14145 ROBERT PARIS CT
Mailing Address - Street 2:
Mailing Address - City:CHANTILLY
Mailing Address - State:VA
Mailing Address - Zip Code:20151-4201
Mailing Address - Country:US
Mailing Address - Phone:703-597-1639
Mailing Address - Fax:
Practice Address - Street 1:14145 ROBERT PARIS CT
Practice Address - Street 2:
Practice Address - City:CHANTILLY
Practice Address - State:VA
Practice Address - Zip Code:20151-4201
Practice Address - Country:US
Practice Address - Phone:703-597-1639
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-04
Last Update Date:2020-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0121000340171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist