Individual
DR. DUSTIN RIO MINNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1205 N CANNON BLVD, KANNAPOLIS, NC 28083-2862
(815) 209-6909
Mailing address
1205 N CANNON BLVD, KANNAPOLIS, NC 28083-2862
(815) 209-6909
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5406
NC
Other
Enumeration date
10/27/2021
Last updated
11/05/2021
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