Organization
SVL CORPORATION
Active
Other names
Pine Street Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL EAGNATIEV (PRESIDENT)
(781) 989-4762
Entity
Organization
Contact information
Practice address
340 PINE ST, CANTON, MA 02021-3357
(781) 989-4762
(781) 688-1578
Mailing address
340 PINE ST, CANTON, MA 02021-3357
(781) 989-4762
(781) 688-1578
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2177
MA
Other
Enumeration date
07/21/2014
Last updated
07/21/2014
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