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Organization
WAVELENGTH CHIROPRACTIC LLC
Active
Organization
WAVELENGTH CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER DIAZ (CREDENTIALING MANAGER)
(877) 515-3336
Entity
Organization
Contact information
Practice address
12239 QUEENSTON BLVD STE F, HOUSTON, TX 77095-5333
(346) 327-6079
Mailing address
12239 QUEENSTON BLVD STE F, HOUSTON, TX 77095-5333
(346) 327-6079
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
09/25/2024
Last updated
09/25/2024
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