Organization
FAIRFAX CHIROPRACTIC AND WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN N GLASMAN D.C (OWNER OF ENTITY)
(703) 291-6677
Entity
Organization
Contact information
Practice address
10640 MAIN ST STE 103, FAIRFAX, VA 22030-3930
(703) 291-6677
(703) 352-8935
Mailing address
10640 MAIN ST STE 103, FAIRFAX, VA 22030-3930
(703) 291-6677
(703) 352-8935
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
09/29/2021
Last updated
09/29/2021
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