Organization
BALANCED LIFE CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACQUELINE MERCED GONZALEZ DC (OWNER/CHIROPRACTOR)
(404) 409-9010
Entity
Organization
Contact information
Practice address
9028 PRINCE WILLIAM ST STE 2A, MANASSAS, VA 20110-5664
(703) 334-8597
Mailing address
9028 PRINCE WILLIAM ST STE 2A, MANASSAS, VA 20110-5664
(703) 334-8597
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/21/2018
Last updated
11/21/2018
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