Individual
VERONICA LYNN WOODRUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
122 N MAIN ST, FORTVILLE, IN 46040-1311
(317) 485-3167
Mailing address
409 ILLINOIS ST, FORTVILLE, IN 46040-1020
(317) 250-0332
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08002483A
IN
Other
Enumeration date
01/11/2010
Last updated
01/11/2010
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