Individual
CHIA MOUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
926 WILLARD DR STE 218, ASHWAUBENON, WI 54304-5071
(920) 316-1103
Mailing address
1118 PILGRIM WAY APT C, ASHWAUBENON, WI 54304-5833
(920) 254-0227
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5626-12
WI
Other
Enumeration date
09/01/2021
Last updated
09/01/2021
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