Individual
DR. JESSE MANUEL VENTOSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
11350 RANDOM HILLS RD STE 300, FAIRFAX, VA 22030-7421
(703) 373-7113
Mailing address
11350 RANDOM HILLS RD STE 300, FAIRFAX, VA 22030-7421
(703) 373-7113
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104557858
VA
Other
Enumeration date
07/21/2020
Last updated
01/06/2025
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