Chettia Provost, DC

NPI #1912308784 in Alexandria, Virginia

Provider Information

NPI Number: 1912308784
Entity Type: Individual
Name: Chettia Provost, DC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: DC
Enumeration Date: Sep 11, 2014
Last Updated: Sep 11, 2014

Practice Location

Address: 1240 N PITT ST
City: Alexandria
State: Virginia
ZIP Code: 22314-5600
Phone: (703) 739-0456

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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