Individual
DR. RYAN DANIEL HEINZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1 S MAIN ST STE 1, LODI, NJ 07644-2235
(973) 472-7465
Mailing address
44 WESTON CIR, PONTE VEDRA, FL 32081-0650
(904) 210-5313
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH12963
FL
Other
Enumeration date
07/09/2018
Last updated
06/22/2020
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