Organization
MAPLE CHIROPRACTIC & ACUPUNCTURE CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEYVAN SHAHVERDI D.C., L.AC. (PRESIDENT)
(703) 657-0202
Entity
Organization
Contact information
Practice address
10721 MAIN ST, SUITE # 2500, FAIRFAX, VA 22030-6914
(703) 657-0202
(703) 657-0234
Mailing address
10721 MAIN ST, SUITE # 2500, FAIRFAX, VA 22030-6914
(703) 657-0202
(703) 657-0234
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104556725
VA
Other
Enumeration date
04/24/2013
Last updated
04/24/2013
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