Individual
MOUSSA SYLLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
7607 WILDWOOD CT APT B2, LORTON, VA 22079-1875
(443) 739-6150
Mailing address
7607 WILDWOOD CT APT B2, LORTON, VA 22079-1875
(443) 739-6150
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104557862
VA
111NI0013X
Independent Medical Examiner Chiropractor
0104557862
VA
111NN1001X
Nutrition Chiropractor
0104557862
VA
111NR0400X
Rehabilitation Chiropractor
01045578862
VA
111NS0005X
Sports Physician Chiropractor
01045578862
VA
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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