Individual
DR. LARISSA ANN DIBELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
528 UNION RD, GASTONIA, NC 28054-4450
(704) 867-1010
(704) 868-2602
Mailing address
528 UNION RD, GASTONIA, NC 28054-4450
(704) 867-1010
(704) 868-2602
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2255
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890282P
—
NC
Enumeration date
05/02/2006
Last updated
11/19/2007
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