Fairfax Chiropractic and Wellness Center LLC

NPI #1417629387 in Fairfax, Virginia

Provider Information

NPI Number: 1417629387
Entity Type: Organization
Organization Name: Fairfax Chiropractic and Wellness Center LLC
Primary Specialty: Chiropractor
Enumeration Date: Sep 29, 2021
Last Updated: Sep 29, 2021

Practice Location

Address: 10640 MAIN ST STE 103
City: Fairfax
State: Virginia
ZIP Code: 22030-3930
Phone: (703) 291-6677

Authorized Official

Name: BENJAMIN N GLASMAN, D.C
Title: OWNER OF ENTITY
Phone: (703) 291-6677

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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