Individual
JEANELLE MARIE BRADSHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
602 S KING ST STE 301, LEESBURG, VA 20175-3919
(703) 723-9355
(888) 792-7952
Mailing address
35979 BELL RD, ROUND HILL, VA 20141-2442
(037) 239-3557
(888) 792-7952
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104556766
VA
Other
Enumeration date
03/08/2010
Last updated
03/13/2021
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