Individual
DR. NICOLE KRISTINE BOERBOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1801 W QUEEN CREEK RD, #2, CHANDLER, AZ 85248-3001
(630) 660-4436
Mailing address
1801 W QUEEN CREEK RD, #2, CHANDLER, AZ 85248-3001
(630) 660-4436
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
038.011011
IL
111N00000X
Chiropractor
Primary
8104
AZ
Other
Enumeration date
03/03/2008
Last updated
06/18/2010
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