Jessica Raechelle Judge DC, BS

NPI 1619169448 - Chiropractor - 111N00000X

NPI Details
NPI 1619169448
Gender Female
Enumeration Date 08/15/2007
Last Updated 09/29/2010
Entity Type Individual
Active Over 9 years ago
Practice Location
112 W. 4TH ST
JUSTIN TX, 76247, US
Phone (940) 648-1700
Fax
Business Location
PO BOX 77033
FORT WORTH TX, 76177-0033, US
Phone (940) 648-1700
Fax
Toxanomy
Taxonomy Code 111N00000X
License State Texas
License Number 10289
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According to our database, Dr. Jessica Raechelle Judge DC, BS NPI is 1619169448, taxonomy code is 111N00000X and license number is 10289, license state is located at Texas. Jessica Raechelle Judge DC, BS physically located at 112 W. 4th St, Justin TX, 76247. NPI Number Jessica Raechelle Judge DC, BS has the Individual type.

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1619169448 NPI number is provided on an as is basis without warranty of any kind. 1619169448 is maintained by the National Plan & Provider Enumeration System. The contents of Jessica Raechelle Judge DC, BS are for informational purposes only.