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Organization
BAYSIDE CHIROPRACTIC REHAB AND LASER
Active
Organization
BAYSIDE CHIROPRACTIC REHAB AND LASER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANET HOOKS PORTER (BUSINESS OWNER)
(757) 331-1190
Entity
Organization
Contact information
Practice address
117 MASON AVE STE F, CAPE CHARLES, VA 23310-3135
(757) 331-1190
(757) 331-1260
Mailing address
117 MASON AVE STE F, CAPE CHARLES, VA 23310-3135
(757) 331-1190
(757) 331-1260
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104557185
VA
Other
Enumeration date
12/02/2014
Last updated
12/02/2014
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