Individual
MICHELLE LYNETTE CORVALLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
17 SOUTH FRANKLIN ST., FARMINGTON, MO 63640
(573) 915-5200
Mailing address
17 SOUTH FRANKLIN ST., FARMINGTON, MO 63640
(573) 915-5200
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2018001378
MO
Other
Enumeration date
03/08/2018
Last updated
03/08/2018
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