Individual
CARLA SAUCEDO QUINTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
18600 LYNDON B JOHNSON FWY, MESQUITE, TX 75150-5628
(214) 751-8992
Mailing address
704 KINDRED LN, RICHARDSON, TX 75080-3111
(210) 763-7420
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
15816
TX
Other
Enumeration date
11/14/2023
Last updated
11/14/2023
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