Individual
VIKTORIA KRISLATY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
13708 MADISON AVE, LAKEWOOD, OH 44107-4711
(216) 221-2008
Mailing address
13708 MADISON AVE, LAKEWOOD, OH 44107-4711
(216) 221-2008
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC-04829
OH
Other
Enumeration date
04/07/2019
Last updated
04/07/2019
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