Organization
POULIN INC
Active
Other names
Poulin Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIKE MARCEL POULIN DC (PRESIDENT)
(703) 561-0600
Entity
Organization
Contact information
Practice address
2465 CENTREVILLE RD, SUITE J-18, HERNDON, VA 20171-4586
(703) 561-0600
Mailing address
2465 CENTREVILLE RD, SUITE J-18, HERNDON, VA 20171-4586
(703) 561-0600
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104-001170
VA
Other
Enumeration date
06/15/2012
Last updated
07/12/2012
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