| Chettia Provost, DC | |
|
1240 N Pitt St, Alexandria, VA 22314-5600 | |
| (703) 739-0456 | |
| (703) 739-0032 |
| Full Name | Chettia Provost |
|---|---|
| Gender | Female |
| Speciality | Chiropractor |
| Location | 1240 N Pitt St, Alexandria, Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912308784 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 0104557189 (Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Chettia Provost, DC 1240 N Pitt St, Alexandria, VA 22314-5600 Ph: (703) 739-0456 | Chettia Provost, DC 1240 N Pitt St, Alexandria, VA 22314-5600 Ph: (703) 739-0456 |
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