Individual
MARIAH FILLENWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
850 22ND AVE STE 3, CORALVILLE, IA 52241-1688
(319) 358-8999
Mailing address
850 22ND AVE STE 3, CORALVILLE, IA 52241-1688
(319) 358-8999
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
125448
IA
Other
Enumeration date
03/27/2024
Last updated
04/22/2024
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