NPI 1003450636
Taejean Converti, DOMMSOMLAC
Practice location
- Address
- 8909 Day Lilly CT, Fairfax, VA 22031-1464
- Phone
- (703) 864-3636
Registered specialties
Acupuncturist
Primary
Registry record
- NPI
- 1003450636
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 6 Nov 2019
- Record last updated
- 3 Oct 2020
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.