Organization
PALMERCARE CHIROPRACTIC VIENNA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COREY MALNIKOF (OWNER)
(703) 421-2990
Entity
Organization
Contact information
Practice address
303 MAPLE AVE W STE B, VIENNA, VA 22180-4312
(703) 319-1212
Mailing address
303 MAPLE AVE W STE B, VIENNA, VA 22180-4312
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
11/24/2009
Last updated
11/24/2009
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