Individual
ANGELICA YI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
10301 DEMOCRACY LN STE 110, FAIRFAX, VA 22030-2545
(702) 293-2939
Mailing address
10301 DEMOCRACY LN STE 110, FAIRFAX, VA 22030-2545
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104557539
VA
Other
Enumeration date
12/19/2018
Last updated
01/13/2019
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