Total Wellness 21

NPI #1861967929 in Midlothian, Virginia

Provider Information

NPI Number: 1861967929
Entity Type: Organization
Organization Name: Total Wellness 21
Primary Specialty: Chiropractor
Enumeration Date: Oct 4, 2018
Last Updated: Oct 4, 2018

Practice Location

Address: 11156 HULL STREET RD
City: Midlothian
State: Virginia
ZIP Code: 23112-3205
Phone: (804) 744-2211

Authorized Official

Name: DEBRA JO MARTIN
Title: OFFICE MANAGER
Phone: (804) 744-2211

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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