Individual
JONATHAN EDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3970 WALNUT ST, FAIRFAX, VA 22030-4726
(703) 457-2337
Mailing address
3970 WALNUT ST, FAIRFAX, VA 22030-4726
(703) 457-2337
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104-557404
VA
Other
Enumeration date
03/28/2017
Last updated
11/14/2022
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