| Commerce Chiropractic Center 2 | |
|
4328 Dale Blvd Woodbridge VA 22193-2402 | |
| (703) 730-0707 | |
| (703) 730-0770 |
| Full Name | Commerce Chiropractic Center 2 |
|---|---|
| Speciality | Clinic/center |
| Location | 4328 Dale Blvd, Woodbridge, Virginia |
| Authorized Official Name and Position | Shayda Mankooei (OWNER/CHIROPRACTOR) |
| Authorized Official Contact | 7037300707 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Commerce Chiropractic Center 2 4328 Dale Blvd Woodbridge VA 22193-2402 Ph: (703) 730-0707 | Commerce Chiropractic Center 2 4328 Dale Blvd Woodbridge VA 22193-2402 Ph: (703) 730-0707 |
| NPI Number | 1720212103 |
|---|---|
| Provider Enumeration Date | 05/13/2009 |
| Last Update Date | 05/13/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720212103 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 0104555961 (Virginia) | Primary |
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