Individual
JOHNNY RESTREPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3702 W TRUMAN BLVD STE 218, JEFFERSON CITY, MO 65109-6153
(573) 606-6970
Mailing address
3702 W TRUMAN BLVD STE 218, JEFFERSON CITY, MO 65109-6153
(573) 606-6970
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2023012415
MO
Other
Enumeration date
04/06/2023
Last updated
04/06/2023
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