Individual
JOANNE J FAVA
Active
Individual
JOANNE J FAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
CH6997
FL
Other
Enumeration date
10/11/2006
Last updated
01/09/2008
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