Organization
CLIFFORD FAMILY CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ANTHONY FUENTES DC (CHIROPRACTOR/OWNER)
(570) 222-5040
Entity
Organization
Contact information
Practice address
MT VIEW PLAZA, SUITE 3, CLIFFORD, PA 18413-0009
(570) 555-4070
Mailing address
PO BOX 9, CLIFFORD, PA 18413-0009
(570) 555-4070
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC007559L
PA
Other
Enumeration date
05/20/2006
Last updated
08/22/2020
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