Provider Demographics
NPI:1073311502
Name:RHEE, EUNICE (L AC)
Entity type:Individual
Prefix:
First Name:EUNICE
Middle Name:
Last Name:RHEE
Suffix:
Gender:
Credentials:L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8982 HOME GUARD DR
Mailing Address - Street 2:
Mailing Address - City:BURKE
Mailing Address - State:VA
Mailing Address - Zip Code:22015-2189
Mailing Address - Country:US
Mailing Address - Phone:678-956-0887
Mailing Address - Fax:
Practice Address - Street 1:10640 MAIN ST STE 300
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-3930
Practice Address - Country:US
Practice Address - Phone:703-981-5085
Practice Address - Fax:240-901-4515
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0121001186171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty