Organization
MBE1
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRETTNEY R RAMSOUR DC (OWNER)
(570) 420-1600
Entity
Organization
Contact information
Practice address
100 PIONEER LN STE 3, STROUDSBURG, PA 18360-8786
(570) 420-1600
Mailing address
100 PIONEER LN STE 3, STROUDSBURG, PA 18360-8786
(570) 420-1600
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC005908L
GA
Other
Enumeration date
11/04/2009
Last updated
11/04/2009
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