Individual
JUANEE SURPRISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1100 DALLAS DR STE 122, DENTON, TX 76205-5121
(940) 566-0000
(940) 565-6655
Mailing address
1170 EMERALD SOUND BLVD, OAK POINT, TX 75068-2236
(972) 292-1434
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
4769
TX
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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