Organization
CAREFREE LAND CHIROPRACTIC III, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOUNG S SONG D.C. (CLINIC DIRECTOR)
(703) 830-4422
Entity
Organization
Contact information
Practice address
13890 BRADDOCK RD, SUITE 200, CENTREVILLE, VA 20121-2435
(703) 830-4422
(703) 830-4421
Mailing address
13890 BRADDOCK RD, SUITE 200, CENTREVILLE, VA 20121-2435
(703) 830-4422
(703) 830-4421
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
0104557024
VA
111N00000X
Chiropractor
Primary
0104557025
VA
Other
Enumeration date
12/04/2012
Last updated
05/20/2013
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