Individual provider · Type 1 NPI
Jesus Manuel Diaz Jr., DC
Chiropractor · Manassas, VA
NPI number
1821352196
Active
Practice location
9408 Grant Ave, Suite 202
Manassas, VA 20110-5511
Fax (703) 369-2733
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 0104556989 (VA) |
| Chiropractor | 111N00000X | 0105473 (KS) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Another provider at this address
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About NPI 1821352196
Jesus Manuel Diaz Jr., DC's National Provider Identifier is 1821352196, issued on Jul 1, 2012. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Manassas, VA. The record was last updated on Jul 1, 2012.