NPI | 1578720017 |
---|---|
Entity Type | Organization |
Authorized Contact | DENNIS JOHN GESUALDI Doctor Of Chiropractic/Director 757-565-6464 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104000644) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: VA 010400644) |
Enumeration Date | 2008-05-21 |
Last Update Date | 2012-01-18 |