Organization
MANASSAS WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEEMA RANDALL D.C. (OWNER)
(571) 359-6285
Entity
Organization
Contact information
Practice address
8735 PLANTATION LN, MANASSAS, VA 20110-4506
(571) 359-6285
(571) 359-6286
Mailing address
8735 PLANTATION LN, MANASSAS, VA 20110-4506
(571) 359-6285
(571) 359-6286
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104556165
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1972522928
TYPE 1 NPI
—
Enumeration date
06/30/2016
Last updated
07/20/2016
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