Individual
CARLA GISELLA DE JESUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1410 S POWERLINE RD, POMPANO BEACH, FL 33069-4300
(954) 772-2711
Mailing address
8004 NW 154TH ST, # 361, MIAMI LAKES, FL 33016-5814
(787) 599-4512
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH11962
FL
Other
Enumeration date
02/02/2017
Last updated
02/02/2017
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