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Organization
VIE CHIROPRACTIC LLC
Active
Organization
VIE CHIROPRACTIC LLC
Active
Other names
Vie Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JILLIAN CAMPBELL DC (CHIROPRACTOR AND OWNER)
(757) 232-7586
Entity
Organization
Contact information
Practice address
6504 47TH ST, RIVERDALE, MD 20737-1093
(757) 232-7586
Mailing address
6504 47TH ST, RIVERDALE, MD 20737-1093
(757) 232-7586
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0104557622
LICENSE
VA
01
—
CH030212
LICENSE
DC
01
—
S04044
LICENSE
MD
Enumeration date
06/11/2021
Last updated
06/11/2021
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