Individual
VASELES ASIMACOPOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5705 SALEM RUN BLVD, SUITE 100, FREDERICKSBURG, VA 22407-7119
(540) 726-4882
(540) 786-4893
Mailing address
12200 AMOS LN, FREDERICKSBURG, VA 22407-7107
(540) 786-4882
(540) 786-4893
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104555602
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0104555602
VA STATE LICENSE NUMBER
VA
Enumeration date
08/02/2006
Last updated
11/05/2015
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