| NPI | 1467564187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL E WILEY President Owner 703-242-3533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104556249) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2008-04-20 |