Individual
DR. ANDRE CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
11440 W BROAD ST, GLEN ALLEN, VA 23060-5821
(301) 841-5077
Mailing address
2700 COLONY VILLAGE TER APT 308, NORTH CHESTERFIELD, VA 23237-3365
(850) 276-0774
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104557760
VA
Other
Enumeration date
02/17/2021
Last updated
03/22/2023
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