Individual
JESSICA LYNNE CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
4801 S BUCKNER BLVD STE 200, DALLAS, TX 75227-2372
(214) 381-7700
Mailing address
4801 S BUCKNER BLVD STE 200, DALLAS, TX 75227-2372
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
14611
TX
Other
Enumeration date
04/05/2021
Last updated
04/05/2021
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