| NPI | 1114282621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESUS MANUEL DIAZ Owner/Doctor 703-369-2559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104556989) |
| Enumeration Date | 2012-07-10 |
| Last Update Date | 2012-07-10 |