Organization
BALANCED LIFE CHIROPRACTIC CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JILL M KONOSKY DC (OWNER/CHIROPRACTOR)
(570) 351-1273
Entity
Organization
Contact information
Practice address
2331 ROUTE 209 STE 4, SCIOTA, PA 18354-7770
(570) 351-1273
Mailing address
123 VALLEY RD W, KUNKLETOWN, PA 18058-7756
(570) 351-1273
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
06/23/2020
Last updated
06/23/2020
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