Masterpeace Chiropractic Center, P.c.
NPI #1700079092 in Lake Ridge, Virginia
Provider Information
- NPI Number
- 1700079092
- Entity Type
- Organization
- Organization Name
- Masterpeace Chiropractic Center, P.c.
- Primary Specialty
- Chiropractor
- Enumeration Date
- Aug 21, 2007
- Last Updated
- Aug 21, 2007
Practice Location
- Address
- 3302 OLD BRIDGE RD
- Address 2
- SUITE GH
- City
- Lake Ridge
- State
- Virginia
- ZIP Code
- 22192-5262
- Phone
- (703) 490-4242
Authorized Official
- Name
- DR. GERARD J MANNINO, D.C.
- Title
- PRESIDENT
- Phone
- (703) 490-4242
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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