Active Family Chiroparctic

NPI 1073771176 - Chiropractor - 111N00000X

NPI Details
NPI 1073771176
Enumeration Date 05/27/2008
Last Updated 09/26/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name BLANCA L BLANCA
Position INSURANCE MANAGER
Phone (703) 689-3500
Fax (703) 689-3500
Practice Location
11790 BARON CAMERON AVE STE J
RESTON VA, 20190-5873, US
Phone (703) 689-3500
Fax (703) 689-3500
Business Location
11790 BARON CAMERON AVE STE J
RESTON VA, 20190-5873, US
Phone (703) 689-3500
Fax (703) 689-3500
Toxanomy
Taxonomy Code 111N00000X
License State
License Number
Remove 1073771176 NPI Number
 

According to our database, Active Family Chiroparctic NPI is 1073771176, taxonomy code is 111N00000X Active Family Chiroparctic physically located at 11790 Baron Cameron Ave Ste J, Reston VA, 20190-5873. NPI Number 1033115704 has the healthcare provider type.

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1073771176 NPI number is provided on an as is basis without warranty of any kind. 1073771176 is maintained by the National Plan & Provider Enumeration System. The contents of Active Family Chiroparctic are for informational purposes only.