Individual
DR. JACOB GOEDKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
535 SOUTHLAKE BLVD, NORTH CHESTERFIELD, VA 23236-3042
(804) 897-6130
(804) 897-6130
Mailing address
535 SOUTHLAKE BLVD, NORTH CHESTERFIELD, VA 23236-3042
(804) 897-6130
(804) 897-6130
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104557146
VA
Other
Enumeration date
01/22/2014
Last updated
01/22/2014
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