Individual
KEITZA GARAVITO AMADOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1108 MADISON PLZ, CHESAPEAKE, VA 23320-5111
(757) 436-5428
Mailing address
1108 MADISON PLZ, CHESAPEAKE, VA 23320-5111
(757) 436-5428
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104557677
VA
Other
Enumeration date
09/01/2020
Last updated
09/04/2020
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