Individual
DR. JESSICA BACON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
3924 WILSON BLVD # C, ARLINGTON, VA 22203-5853
(703) 528-2726
Mailing address
13028 GORDON CIR, HAGERSTOWN, MD 21742-2701
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104556818
VA
Other
Enumeration date
11/19/2010
Last updated
11/19/2010
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