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Organization

FUNDAMENTAL HEALTH, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOY L WAFFUL D.C. (PRESIDENT)
(210) 259-3325
Entity
Organization

Contact information

Practice address
7870 BROADWAY ST STE 201C, SAN ANTONIO, TX 78209-2599
(210) 259-3325
Mailing address
7870 BROADWAY ST STE 201C, SAN ANTONIO, TX 78209-2599

Taxonomy

Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
4618
TX

Other

Enumeration date
01/04/2007
Last updated
08/22/2020
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