Individual
IXCHELL YOGALIS ROMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
2920 MARIETTA HWY STE 102, CANTON, GA 30114-8207
(770) 580-0123
Mailing address
2920 MARIETTA HWY STE 102, CANTON, GA 30114-8207
(770) 580-0123
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR011101
GA
Other
Enumeration date
12/13/2023
Last updated
12/13/2023
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