Individual
JACQUELINE MERCED GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
9028 PRINCE WILLIAM ST STE 2A, MANASSAS, VA 20110-5664
(703) 334-8597
Mailing address
9028 PRINCE WILLIAM ST STE 2A, MANASSAS, VA 20110-5664
(703) 334-8597
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104557196
VA
Other
Enumeration date
12/02/2014
Last updated
11/21/2018
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