| NPI | 1760623201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILFRIED F SANSFAUTE Chiropractor 703-873-5144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104556267) |
| Enumeration Date | 2009-03-12 |
| Last Update Date | 2009-04-14 |