Individual
DR. ASHLEY NICOLE FAUSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
402 N PLUM ST, PONTIAC, IL 61764-1817
(815) 844-4631
(815) 844-1942
Mailing address
402 N PLUM ST, PONTIAC, IL 61764-1817
(815) 844-4631
(815) 844-1942
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038.011234
IL
111N00000X
Chiropractor
2166
TN
Other
Enumeration date
03/10/2007
Last updated
10/04/2012
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