| NPI | 1235318452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIS ANDREW FERNANDEZ President 757-227-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104556477) |
| Enumeration Date | 2007-10-25 |
| Last Update Date | 2024-03-14 |