DR. Jessica Carleen Funicello, DC

NPI #1114068525 in Forest, Virginia

Provider Information

NPI Number
1114068525
Entity Type
Individual
Name
DR. Jessica Carleen Funicello, DC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Chiropractor
Credential
DC
Enumeration Date
Feb 9, 2007
Last Updated
Aug 9, 2007

Practice Location

Address
306 ENTERPRISE DR STE B
City
Forest
ZIP Code
24551-2644
Phone
(434) 385-6333

Specialties & Taxonomy Codes

Specialty
Chiropractor

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