Individual
JORDAN SPEARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
115 BROAD STREET RD, MANAKIN SABOT, VA 23103-2272
(804) 784-0161
(804) 784-2704
Mailing address
115 BROAD STREET RD, MANAKIN SABOT, VA 23103-2272
(804) 784-0161
(804) 784-2704
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
104556955
VA
111NR0400X
Rehabilitation Chiropractor
S03691
MD
Other
Enumeration date
03/20/2012
Last updated
05/11/2021
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