Individual
DR. SHAYDA MANKOOEI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
6800 BACKLICK RD, SUITE 100, SPRINGFIELD, VA 22150-3070
(703) 644-5900
(703) 644-5902
Mailing address
6800 BACKLICK RD, SUITE 100, SPRINGFIELD, VA 22150-3070
(703) 644-5900
(703) 644-5902
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104555961
VA
Other
Enumeration date
07/09/2006
Last updated
06/09/2014
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