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Individual

CAMERON DESROCHERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
150 S WASHINGTON ST STE 301, FALLS CHURCH, VA 22046-2921
(571) 327-2213
(571) 368-3712
Mailing address
150 S WASHINGTON ST STE 301, FALLS CHURCH, VA 22046-2921
(571) 327-2213
(571) 368-3712

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104-557700
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0104-557700
STATE LICENSE
VA
Enumeration date
11/16/2020
Last updated
11/16/2020
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