Individual
DR. ANDREA ELLIE BOLOGNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
4540 BELT LINE ROAD, ADDISON, TX 75001
(972) 789-9333
(972) 789-9557
Mailing address
10429 N MACARTHUR BLVD, APT 161, IRVING, TX 75063
(214) 801-2977
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
10196
TX
Other
Enumeration date
07/12/2006
Last updated
07/08/2007
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