Jaime Diana Luciano, D.C.

NPI #1770743775 in Herndon, Virginia

Provider Information

NPI Number: 1770743775
Entity Type: Individual
Name: Jaime Diana Luciano, D.C.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Jun 12, 2008
Last Updated: Dec 19, 2008

Practice Location

Address: 102 ELDEN ST
Address 2: SUITE 13
City: Herndon
State: Virginia
ZIP Code: 20170-4868
Phone: (703) 742-5470

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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