Individual
DR. JUSTIN J PASSERINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C, M.S., R.D
Contact information
Practice address
1400 ROANOKE RD, DALEVILLE, VA 24083-2935
(540) 992-6637
Mailing address
PO BOX 342, DALEVILLE, VA 24083-0342
(540) 992-6637
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
0104-557369
VA
111NS0005X
Sports Physician Chiropractor
Primary
0104-557369
VA
111NS0005X
Sports Physician Chiropractor
CHIR009634
GA
133V00000X
Registered Dietitian
—
—
Other
Enumeration date
08/18/2016
Last updated
10/25/2016
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