Individual
MARA WENGRYN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
303 SW LORRAINE ST STE C, LEON, IA 50144-1101
(641) 442-5028
Mailing address
23686 324TH ST, DAVIS CITY, IA 50065-4230
(641) 442-5028
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
087424
IA
111N00000X
Chiropractor
1950
NE
Other
Enumeration date
09/10/2017
Last updated
02/12/2018
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