Individual
GENA MENZDORF WICKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
6424 CAMILLE AVE, DALLAS, TX 75252-5439
(214) 684-6863
Mailing address
6424 CAMILLE AVE, DALLAS, TX 75252-5439
(214) 684-6863
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
11458
TX
Other
Enumeration date
05/24/2010
Last updated
05/24/2010
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