Commonwealth Alliance
NPI #1669749529 in Petersburg, Virginia
Provider Information
- NPI Number
- 1669749529
- Entity Type
- Organization
- Organization Name
- Commonwealth Alliance
- Primary Specialty
- Chiropractor
- Enumeration Date
- Nov 21, 2011
- Last Updated
- Nov 21, 2011
Practice Location
- Address
- 34 MEDICAL PARK BLVD STE C
- City
- Petersburg
- State
- Virginia
- ZIP Code
- 23805-9283
- Phone
- (804) 862-2255
Authorized Official
- Name
- DR. LATRICE SHANEE JORDAN, D.C.
- Title
- CLINIC DIRECTOR
- Phone
- (804) 862-2255
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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