Organization
LIFE ENHANCING WELLNESS CENTERS, LLC
Active
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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