Individual
DR. JENNIFER DODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
905 HERNDON PKWY STE B, HERNDON, VA 20170-5544
(703) 437-8195
Mailing address
14613 FLOWER HILL DR, CENTREVILLE, VA 20120-2998
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104556980
VA
111N00000X
Chiropractor
DC010566
PA
Other
Enumeration date
04/02/2012
Last updated
12/08/2016
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