Individual
DR. JASON MAZZARELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C., F.I.A.M.A.
Contact information
Practice address
7806 SUDLEY RD, SUITE 205, MANASSAS, VA 20109-2859
(571) 309-6546
Mailing address
11290 CHATTERLY LOOP, #203, MANASSAS, VA 20109-7861
(571) 309-6546
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
0104556439
VA
111NR0400X
Rehabilitation Chiropractor
DC009617
PA
Other
Enumeration date
01/05/2007
Last updated
07/08/2007
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