Individual
DR. JERI LYNN BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
410 RIATA VALLEY RD, KINGMAN, AZ 86409-2976
(928) 757-9361
Mailing address
410 RIATA VALLEY RD, KINGMAN, AZ 86409-2976
(928) 757-9361
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7584
AZ
111N00000X
Chiropractor
WA0003435
WA
Other
Enumeration date
11/11/2005
Last updated
05/20/2008
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