Organization
JA CANTU SERVICE GROUP LLC
Active
Other names
Chiropractic Office
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOE A CANTU D.C. (MEMBER OWNER)
(434) 295-4367
Entity
Organization
Contact information
Practice address
1911 COMMONWEALTH DR, CHARLOTTESVILLE, VA 22901-2338
(434) 295-4367
(434) 971-9733
Mailing address
1911 COMMONWEALTH DR, CHARLOTTESVILLE, VA 22901-2338
(434) 295-4367
(434) 971-9733
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104555910
VA
Other
Enumeration date
06/29/2011
Last updated
11/04/2011
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