Individual
HANNAH GOMOLAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
3510 S NOVA RD STE 111, PORT ORANGE, FL 32129-3796
(386) 947-7185
Mailing address
3510 S NOVA RD STE 111, PORT ORANGE, FL 32129-3796
(386) 947-7185
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH15216
FL
Other
Enumeration date
11/29/2024
Last updated
11/29/2024
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