Individual
DR. JUAN SEBASTIAN REQUENA-FERRER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3417 CANTON RD BLDG 2, MARIETTA, GA 30066-0018
(770) 424-4804
Mailing address
3417 CANTON RD BLDG 2, MARIETTA, GA 30066-0018
(770) 424-4804
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR010957
GA
Other
Enumeration date
01/24/2023
Last updated
01/24/2023
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