| NPI | 1770031916 |
|---|---|
| Doing Business As | EXECUTIVE PARK CHIROPRACTIC & ACUPUNCTURE |
| Entity Type | Organization |
| Authorized Contact | VU H NGUYEN President 703-810-3311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104556723) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: VA 0104557322) |
| Enumeration Date | 2016-09-16 |
| Last Update Date | 2016-09-16 |