Organization
PALMERCARE CHIROPRACTIC FAIRFAX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COREY MALNIKOF DC (OWNER)
(703) 421-2990
Entity
Organization
Contact information
Practice address
3913 OLD LEE HWY STE 31D, FAIRFAX, VA 22030-2433
(703) 651-0166
Mailing address
3913 OLD LEE HWY STE 31D, FAIRFAX, VA 22030-2433
(703) 651-0166
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
11/24/2009
Last updated
11/24/2009
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