Organization
FERNANDEZ-WILLS LLC
Active
Other names
Full Life Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN FERNANDEZ-GOMEZ D.C. (OWNER)
(570) 239-6961
Entity
Organization
Contact information
Practice address
1741 W MAIN ST, TROY, OH 45373-2301
(937) 552-7364
Mailing address
1741 W MAIN ST, TROY, OH 45373-2301
(937) 552-7364
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4584
OH
Other
Enumeration date
08/24/2016
Last updated
10/05/2016
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