Individual
KIRSTEN FOULLONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
8450 COOPER CREEK BLVD STE 104, UNIVERSITY PARK, FL 34201-2018
(941) 822-8828
Mailing address
3734 IROQUOIS AVE, SARASOTA, FL 34234-5231
(619) 724-9533
Taxonomy
Speciality
Code
Description
License number
State
111NP0017X
Pediatric Chiropractor
Primary
CH13596
FL
Other
Enumeration date
07/10/2021
Last updated
07/10/2021
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