Organization
JUSTIN QUAIL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN QUAIL D.C. (CHIROPRACTOR)
(757) 613-5036
Entity
Organization
Contact information
Practice address
4740 BAXTER RD STE 109, VIRGINIA BEACH, VA 23462-4484
(757) 613-5036
Mailing address
1118 OCEAN PEBBLES WAY, VIRGINIA BEACH, VA 23451-6541
(757) 613-5036
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104557022
VA
Other
Enumeration date
11/26/2012
Last updated
11/26/2012
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