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Individual
DR. STACI MARIE VELLA
Active
Individual
DR. STACI MARIE VELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104000795
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1024175
AMERICAN SPECIALTY HEALTH
—
01
—
330556
ANTHEM
VA
01
—
35822
MAMSI
—
01
—
609393
ACN
—
Enumeration date
10/11/2006
Last updated
07/08/2007
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