Individual
FABIOLA MARIA MENENDEZ-VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12035 HIGHWAY 92 STE 400, WOODSTOCK, GA 30188-7010
(678) 445-2472
Mailing address
1805 ROSWELL RD APT 33F, MARIETTA, GA 30062-3949
(787) 675-4211
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CHIRO10733
GA
111NP0017X
Pediatric Chiropractor
Primary
CHIRO10733
GA
Other
Enumeration date
12/16/2022
Last updated
12/16/2022
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