Medical school: LIFE CHIROPRACTIC COLLEGE - WEST
Graduated: 2003
NPI: 1487735007
Practice Locations (3)
10195 MAIN ST F
FAIRFAX, VA 220313415
7032779590
9693 MAIN ST, SUITE C
FAIRFAX, VA 220313771
7032779590
9693 MAIN ST C
FAIRFAX, VA 220313771
Source: CMS National Downloadable File, September 2026.