| NPI | 1902814239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE WARREN Office Manager 804-271-7920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104557179) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: VA 0104000355) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2017-12-07 |