Individual
DR. JOANNE L JEZEQUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
2166 TAYSIDE XING NW, KENNESAW, GA 30152-8270
(770) 428-6296
Mailing address
2166 TAYSIDE XING NW, KENNESAW, GA 30152-8270
(770) 428-6296
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2604
GA
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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