Individual
DR. XAVIER ORTIZ VALLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1585 CHURCH ST STE 665, DECATUR, GA 30033-6059
(404) 913-6734
Mailing address
1585 CHURCH ST STE 665, DECATUR, GA 30033-6059
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR010169
GA
Other
Enumeration date
03/05/2019
Last updated
03/05/2019
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