Organization
MANKOOEI CHIROPRACTIC CENTER 2, LLC
Active
Parent organization
MANKOOEI CHIROPRACTIC CENTER, INC
Other names
Commerce Chiropractic Center 2
Organization subpart
Yes
Provider details
NPI number
Legal business name
MANKOOEI CHIROPRACTIC CENTER, INC
Authorized official
SHAYDA MANKOOEI DC (OWNER/CHIROPRACTOR)
(703) 730-0707
Entity
Organization
Contact information
Practice address
4328 DALE BLVD, WOODBRIDGE, VA 22193-2402
(703) 730-0707
(703) 730-0770
Mailing address
4328 DALE BLVD, WOODBRIDGE, VA 22193-2402
(703) 730-0707
(703) 730-0770
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
0104555961
VA
Other
Enumeration date
05/13/2009
Last updated
05/13/2009
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