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Organization

LIFE ENHANCING WELLNESS CENTERS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DEMETRIOS A KYDONIEUS DC (OWNER)
(434) 481-2012
Entity
Organization

Contact information

Practice address
8881 SEMINOLE TRL, RUCKERSVILLE, VA 22968-3448
(434) 481-2012
Mailing address
8881 SEMINOLE TRL, RUCKERSVILLE, VA 22968-3448
(434) 481-2012

Taxonomy

Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
0104556817
VA

Other

Enumeration date
02/13/2017
Last updated
11/14/2018
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