Individual
DR. EDIST JEEMS LOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
351 S MAIN ST, KILMARNOCK, VA 22482
(804) 435-3333
(804) 435-1933
Mailing address
PO BOX 1447, KILMARNOCK, VA 22482
(804) 435-3333
(804) 435-1933
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0004485505
VA
Other
Enumeration date
07/13/2006
Last updated
07/08/2007
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