Medical school: LOS ANGELES COLLEGE OF CHIROPRACTIC
Graduated: 1999
NPI: 1396948618
Practice Locations (2)
100 E ST, SUITE 103
VIENNA, VA 221804800
100 E ST SE, 103 VITALITY CHIROPRACTIC
VIENNA, VA 221804800
7032556522
Source: CMS National Downloadable File, September 2026.