Individual
CARLYN GRACE VAN BLARICUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
219 MCLAWS CIR, WILLIAMSBURG, VA 23185-5649
(757) 259-1122
Mailing address
902 CONWAY DR APT 204, WILLIAMSBURG, VA 23185-3838
(913) 568-1556
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104-557635
VA
Other
Enumeration date
03/31/2020
Last updated
03/31/2020
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