Individual
AMANDA GOMEZ MARQUIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
2255 N WICKHAM RD, MELBOURNE, FL 32935-8012
(321) 253-8511
Mailing address
2255 N WICKHAM RD, MELBOURNE, FL 32935-8012
(321) 253-8511
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH13158
FL
Other
Enumeration date
07/28/2020
Last updated
07/28/2020
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