Organization
VIBRANT FAMILY CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICOLE CHRISTINE GAITANISIOLI D.C. (CHIROPRACTOR/OWNER)
(480) 205-6951
Entity
Organization
Contact information
Practice address
22717 S ELLSWORTH RD, SUITE B-101, QUEEN CREEK, AZ 85242-6127
(480) 205-6951
Mailing address
3959 E LAMBETH PL, QUEEN CREEK, AZ 85240-5126
(480) 205-6951
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7159
AZ
Other
Enumeration date
05/12/2009
Last updated
05/12/2009
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