Jrgcc

NPI #1730689068 in Fairfax, Virginia

Provider Information

NPI Number: 1730689068
Entity Type: Organization
Organization Name: Jrgcc
Primary Specialty: Chiropractor
Enumeration Date: Feb 13, 2018
Last Updated: Feb 13, 2018

Practice Location

Address: 10507 BRADDOCK RD STE A
City: Fairfax
State: Virginia
ZIP Code: 22032-2240
Phone: (607) 329-8135

Authorized Official

Name: DR. JAMES RICHARD GO, DC
Title: CHIROPRACTOR
Phone: (607) 329-8135

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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