Individual
BREITEN MARK LIEBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
477 VIKING DR, VIRGINIA BEACH, VA 23452-7349
(757) 631-9799
(757) 631-9866
Mailing address
477 VIKING DR STE 350, VIRGINIA BEACH, VA 23452-7531
(757) 631-9799
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104558083
VA
Other
Enumeration date
05/23/2025
Last updated
05/23/2025
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