Individual
SILVARAY WINDITYAS RUMEDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
44330 PREMIER PLZ, ASHBURN, VA 20147-5070
(240) 272-2702
Mailing address
44330 PREMIER PLZ, ASHBURN, VA 20147-5070
(240) 272-2702
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104557670
VA
Other
Enumeration date
11/05/2020
Last updated
11/05/2020
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