Individual
DR. PENNY LEA TESHAK FULLARTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
4535 BUNKER HILL DR, BETTENDORF, IA 52722-1760
(563) 343-6797
Mailing address
4535 BUNKER HILL DR, BETTENDORF, IA 52722-1760
(563) 343-6797
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038.012793
IL
Other
Enumeration date
03/07/2019
Last updated
03/07/2019
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