Individual
DR. IRENE WABOMNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
2555 RIDGE RD STE 150, ROCKWALL, TX 75087-5523
(972) 587-0101
Mailing address
2555 RIDGE RD STE 150, ROCKWALL, TX 75087-5523
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
13097
TX
Other
Enumeration date
07/13/2020
Last updated
07/13/2020
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