Organization
VIRGINIA FAMILY CHIROPRACTIC HEALTH CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FERMIN ALBERTO DE LA JARA D.C. (OWNER)
(703) 730-1600
Entity
Organization
Contact information
Practice address
12546 DILLINGHAM SQUARE, 102, WOODBRIDGE, VA 22192-5259
(703) 730-1600
Mailing address
12546 DILLINGHAM SQUARE, 102, WOODBRIDGE, VA 22192-5259
(703) 730-1600
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1510
VA
Other
Enumeration date
07/13/2006
Last updated
08/22/2020
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