Organization
122 CHIROPRACTIC CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMANTHA JORDAN DC (CHIROPRACTOR/OWNER)
(941) 713-1392
Entity
Organization
Contact information
Practice address
13850 BOOKER T WASHINGTON HWY, MONETA, VA 24121-6205
(941) 713-1392
Mailing address
13850 BOOKER T WASHINGTON HWY, MONETA, VA 24121-6205
(941) 713-1392
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
11/02/2020
Last updated
11/02/2020
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