Organization
DOCTOR OF CHIROPRACTIC AND HEALTH SCIENCE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA MARIE LOPEZ DC (MEMBER)
(616) 425-9810
Entity
Organization
Contact information
Practice address
4415 BYRON CENTER AVE SW, WYOMING, MI 49519-4800
(616) 534-2944
Mailing address
642 CHANCELLOR DR SW, GRANDVILLE, MI 49418-3377
(616) 295-7665
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301010535
MI
Other
Enumeration date
08/29/2017
Last updated
08/29/2017
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