Individual
DR. CARMEL DEKEL WISEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C., D.I.C.C.P.
Contact information
Practice address
10807 MAIN ST, 800, FAIRFAX, VA 22030-4730
(240) 460-5150
(240) 342-3434
Mailing address
13988 NEW BRADDOCK RD, CENTREVILLE, VA 20121-3502
(240) 460-5150
(240) 342-3434
Taxonomy
Speciality
Code
Description
License number
State
111NP0017X
Pediatric Chiropractor
Primary
0104556504
VA
111NP0017X
Pediatric Chiropractor
S03521
MD
Other
Enumeration date
01/25/2009
Last updated
03/29/2012
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