Individual
DR. JENNIFER JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
2415 18TH ST, SUITE 107, BETTENDORF, IA 52722-0202
(563) 355-0010
Mailing address
2415 18TH ST, SUITE 107, BETTENDORF, IA 52722-0202
(563) 355-0010
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
007631
IA
Other
Enumeration date
07/17/2014
Last updated
07/17/2014
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