NPI 1023428133
Illumination, LLC
Practice location
- Address
- 1492 S Independence Blvd. STE 102, Virginia Beach, VA 23462-5252
- Phone
- (757) 431-0053
- Fax
- (757) 431-0053
Authorised official
- Name
- Jayne F Dabu
- Title
- President
- Phone
- (757) 431-0053
Registered specialties
Acupuncturist
Primary
Registry record
- NPI
- 1023428133
- Entity type
- Organization
- NPI issued
- 29 Apr 2014
- Record last updated
- 14 Mar 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.