Organization
DRRLHARDY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSHAUN LLOYD HARDY D.C (OWNER)
(914) 879-4572
Entity
Organization
Contact information
Practice address
15200 LEICESTERSHIRE ST UNIT 234, WOODBRIDGE, VA 22191-5924
(914) 879-4572
Mailing address
15200 LEICESTERSHIRE ST UNIT 234, WOODBRIDGE, VA 22191-5924
(914) 879-4572
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
11/16/2016
Last updated
01/25/2017
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