Individual
JUSTIN ALLEN QUAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4740 BAXTER RD, VIRGINIA BEACH, VA 23462-4484
(757) 490-8555
Mailing address
1118 OCEAN PEBBLES WAY, VIRGINIA BEACH, VA 23451
(757) 613-5036
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104557022
VA
Other
Enumeration date
10/30/2012
Last updated
10/30/2012
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