Organization
RADIANT LIFE CHIROPRACTIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA RAY DC (OWNER/CHIROPRACTOR)
(940) 231-2980
Entity
Organization
Contact information
Practice address
17236 N MAY AVE STE A, EDMOND, OK 73012-9137
(940) 231-2980
Mailing address
429 BEECHWOOD LN, MADISON, MS 39110-9341
(940) 231-2980
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
10/03/2018
Last updated
10/03/2018
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