Individual
JACOB BRADLEY BORAAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2010 E 38TH ST STE 201B, DAVENPORT, IA 52807-1179
(563) 265-5494
Mailing address
2010 E 38TH ST STE 201B, DAVENPORT, IA 52807-1179
(563) 265-5494
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
096660
IA
Other
Enumeration date
11/01/2019
Last updated
11/01/2019
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