Individual
DR. BRANDY JANELL NICKELS-JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
118 W MAIN ST, HOUSTON, MO 65483-1237
(417) 967-4606
Mailing address
PO BOX 17, HOUSTON, MO 65483-0017
(417) 967-4606
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2008000457
MO
Other
Enumeration date
01/07/2009
Last updated
01/07/2009
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