Individual
AMBER-VETA BALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
701 BEVILLE RD, SOUTH DAYTONA, FL 32119-1823
(386) 788-2855
Mailing address
958 VILLAGE TRL APT 607, PORT ORANGE, FL 32127-4732
(772) 834-7901
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH13220
FL
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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