Individual
BAILEE LYNN CHEVENDRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1601 LANCASTER DR STE 160, GRAPEVINE, TX 76051-2107
(817) 510-9645
Mailing address
1601 LANCASTER DR STE 160, GRAPEVINE, TX 76051-2107
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
15011
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/14/2021
Last updated
11/15/2024
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