Individual
DR. JENNIFER BLACKMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
700 19TH ST STE 105, VIRGINIA BEACH, VA 23451-4100
(757) 376-2560
Mailing address
700 19TH ST STE 105, VIRGINIA BEACH, VA 23451-4100
(757) 376-2560
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104556960
VA
Other
Enumeration date
02/06/2012
Last updated
01/04/2013
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