NOVA BACK DOCTOR PPLC

ALEXANDRIA, VA
NPI1013416569
Entity TypeOrganization
Authorized ContactBENJAMIN DALE CRANDALL
Doctor
703-719-0900
Organization Subpart ?No
Primary Taxonomy111NR0400X 
(Licence: VA  396)
Enumeration Date2018-02-09
Last Update Date2018-02-09
Business Address
NOVA BACK DOCTOR PPLC
6080 FRANCONIA RD STE B
ALEXANDRIA, VA 22310-4427
Phone number: 703-719-0900
Mailing Address
NOVA BACK DOCTOR PPLC
6080 FRANCONIA RD STE B
ALEXANDRIA, VA 22310-4427
Phone number:
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