Individual
JADE AMANDA GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
800 W AIRPORT FWY STE 810, IRVING, TX 75062-6285
(972) 812-0020
Mailing address
871 LAKE CAROLYN PKWY APT 218, IRVING, TX 75039-4590
(318) 464-4539
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
15185
TX
Other
Enumeration date
05/25/2022
Last updated
05/25/2022
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