Individual
JAKE JOSEPH CROMWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
672D GRAVOIS BLUFFS BLVD # D, FENTON, MO 63026-7714
(636) 326-2525
Mailing address
672D GRAVOIS BLUFFS BLVD # D, FENTON, MO 63026-7714
(636) 326-2525
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2023032424
MO
Other
Enumeration date
08/16/2023
Last updated
08/16/2023
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