Organization
PLENTIFUL LIFE CHIROPRACTIC CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAIME A CHICA D.C. (PRESIDENT)
(703) 379-6300
Entity
Organization
Contact information
Practice address
101 E HOLLY AVE, UNIT 11, STERLING, VA 20164-5402
(571) 313-8167
(571) 267-7916
Mailing address
101 E HOLLY AVE, UNIT 11, STERLING, VA 20164-5402
(571) 313-8167
(571) 267-7916
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104002042
VA
Other
Enumeration date
05/02/2016
Last updated
05/02/2016
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