Individual
DR. JADIAN STARLA MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1418 S BROADWAY, SUITE C, MINOT, ND 58701-5933
(701) 209-0230
Mailing address
1418 S BROADWAY, SUITE C, MINOT, ND 58701-5933
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
949
ND
Other
Enumeration date
06/29/2013
Last updated
03/19/2015
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