Individual
DR. CHAD RIETVELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
4621 EMERSON ST, JACKSONVILLE, FL 32207-4920
(904) 399-8884
Mailing address
8290 GATE PKWY W UNIT 916, JACKSONVILLE, FL 32216-3624
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH7166
FL
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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