Individual
SHAUN HAIRSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
3507 BOULEVARD STE A, COLONIAL HEIGHTS, VA 23834-1319
(804) 526-7125
Mailing address
814 COMMERCE DR STE 300, OAK BROOK, IL 60523-8823
(630) 468-1824
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104558093
VA
Other
Enumeration date
09/11/2025
Last updated
09/11/2025
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