Organization
WALLACE CHIROPRACTIC, PC
Active
Other names
BodyWorkz
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANEEN L WALLACE (OWNER/PHYSICIAN)
(480) 245-4995
Entity
Organization
Contact information
Practice address
6610 E BASELINE RD, SUITE 103, MESA, AZ 85206-4440
(480) 245-4995
Mailing address
6610 E BASELINE RD, SUITE 103, MESA, AZ 85206-4440
(480) 245-4995
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7558
AZ
Other
Enumeration date
02/21/2014
Last updated
08/31/2022
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