Individual
DR. TALLEREE NICHOLE JOEBGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
754 WALKER RD, GREAT FALLS, VA 22066-2654
(703) 757-5817
(703) 757-5478
Mailing address
754 WALKER RD, GREAT FALLS, VA 22066-2654
(703) 757-5817
(703) 757-5478
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104555841
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
167445
BLUECROSS BLUE SHIELD
VA
Enumeration date
08/30/2006
Last updated
03/31/2008
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