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Individual

DR. STACI MARIE VELLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
4224 HOLLAND ROAD, SUITE 110, VIRGINIA BEACH, VA 23452-1900
(757) 486-4772
(757) 486-6511
Mailing address
4224 HOLLAND ROAD, SUITE 110, VIRGNIA BEACH, VA 23452-1900
(757) 486-4772
(757) 486-6511

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104000795
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1024175
AMERICAN SPECIALTY HEALTH
01
330556
ANTHEM
VA
01
35822
MAMSI
01
609393
ACN
Enumeration date
10/11/2006
Last updated
07/08/2007
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