Individual
MARIA ISABELLA BOURJOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2002 MCCOOK DR NW, KENNESAW, GA 30144-3165
(561) 810-9681
Mailing address
2002 MCCOOK DR NW, KENNESAW, GA 30144-3165
(561) 810-9681
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
011139
GA
111N00000X
Chiropractor
Primary
14916
FL
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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