Individual
JESSICA L DAVIS-MIERZWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
24 MAIN ST, FORESTVILLE, NY 14062
(716) 877-0676
(716) 877-4248
Mailing address
24 MAIN ST, FORESTVILLE, NY 14062-9803
(716) 965-4343
(716) 965-2667
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
010181
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8812310
INDEPENDENT HEALTH
NY
Enumeration date
10/02/2006
Last updated
02/20/2019
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