New Life Wellness Center

NPI 1417008699 - Chiropractor - 111N00000X

NPI Details
NPI 1417008699
Enumeration Date 01/15/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name KATHRYN ANNE KATHRYN
Position EXECUTIVE DIRECTOR
Phone (703) 242-7474
Fax
Practice Location
243 CHURCH ST NW
SUITE 300B
VIENNA VA, 22180-4434, US
Phone (703) 242-7474
Fax
Business Location
243 CHURCH ST NW
SUITE 300B
VIENNA VA, 22180-4434, US
Phone (703) 242-7474
Fax
Toxanomy
Taxonomy Code 111N00000X
License State Virginia
License Number 0104001088
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According to our database, New Life Wellness Center NPI is 1417008699, taxonomy code is 111N00000X and license number is 0104001088, license state is located at Virginia. New Life Wellness Center physically located at 243 Church St Nw, Vienna VA, 22180-4434. NPI Number 1033115704 has the healthcare provider type.

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1417008699 NPI number is provided on an as is basis without warranty of any kind. 1417008699 is maintained by the National Plan & Provider Enumeration System. The contents of New Life Wellness Center are for informational purposes only.