Individual
DR. JENNIFER FANCHON VONDRAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
102 BOYER ST., SUITE B, WALL LAKE, IA 51466
(712) 664-2054
(712) 664-2053
Mailing address
102 BOYER ST., SUITE B, WALL LAKE, IA 51466
(712) 664-2054
(712) 664-2053
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
AO6224
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1198671
—
IA
Enumeration date
03/14/2006
Last updated
01/09/2018
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