# FERNANDEZ-WILLS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Full Life Chiropractic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083169577
- **Authorized official:** DR. JUAN FERNANDEZ-GOMEZ D.C. (OWNER)
- **Authorized official phone:** (570) 239-6961

## Contact information

- **Practice address:** 1741 W MAIN ST, TROY, OH 45373-2301
- **Practice address phone:** (937) 552-7364
- **Mailing address:** 1741 W MAIN ST, TROY, OH 45373-2301
- **Mailing address phone:** (937) 552-7364

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 4584 | OH | Yes |

## Other

- **Enumeration date:** 08/24/2016
- **Last updated:** 10/05/2016