Individual
DR. GERARD JOSEPH MANNINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3302 OLD BRIDGE RD, SUITE GH, WOODBRIDGE, VA 22192-5262
(703) 490-4242
(703) 491-6370
Mailing address
3302 OLD BRIDGE RD, SUITE GH, WOODBRIDGE, VA 22192-5262
(703) 490-4242
(703) 491-6370
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104000675
VA
Other
Enumeration date
01/03/2007
Last updated
07/08/2007
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