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Individual

DR. DIANNA PHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
6408 SEVEN CORNERS PL STE K, FALLS CHURCH, VA 22044-2011
(703) 538-8881
Mailing address
6408 SEVEN CORNERS PL STE K, FALLS CHURCH, VA 22044-2011
(703) 538-8881

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104001995
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1027672
ASHN
VA
01
3908975
AETNA
VA
01
461747
TRIGON
VA
01
7046200
AETNA
VA
01
G380-0001
CAREFIRST
VA
Enumeration date
06/12/2007
Last updated
07/08/2007
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