Individual
KEALY OLVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
802 BOMBAY LN, ROSWELL, GA 30076-5819
(770) 545-8070
Mailing address
802 BOMBAY LN, ROSWELL, GA 30076-5819
(770) 545-8070
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR010271
GA
Other
Enumeration date
11/04/2019
Last updated
08/24/2021
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