Individual
MIGUEL OLIVERAS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
13854 SMOKETOWN RD, WOODBRIDGE, VA 22192-4210
(703) 670-9935
(703) 670-9939
Mailing address
4118 GRANBY RD, WOODBRIDGE, VA 22193-2510
(646) 753-0798
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104-557761
VA
Other
Enumeration date
09/13/2021
Last updated
10/11/2021
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