Organization
SKYLINE WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILFRIED F SANSFAUTE D.C. (CHIROPRACTOR)
(703) 873-5144
Entity
Organization
Contact information
Practice address
4218 KING ST, ALEXANDRIA, VA 22302-1507
(703) 879-5144
(703) 879-5860
Mailing address
4218 KING ST, ALEXANDRIA, VA 22302-1507
(703) 879-5144
(703) 879-5860
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104556267
VA
Other
Enumeration date
03/12/2009
Last updated
04/14/2009
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