Individual
DR. MIKKEL BAHAMONDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7534 LASSO DR, CORPUS CHRISTI, TX 78414
(813) 512-9903
Mailing address
7534 LASSO DR, CORPUS CHRISTI, TX 78414
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
14393
TX
Other
Enumeration date
01/16/2020
Last updated
12/20/2021
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