Maudel Citizen Pllc

NPI #1194375519 in Webster, Texas

Provider Information

NPI Number: 1194375519
Entity Type: Organization
Organization Name: Maudel Citizen Pllc
Primary Specialty: Chiropractor
Enumeration Date: Sep 17, 2019
Last Updated: Sep 17, 2019

Practice Location

Address: 100 W TEXAS AVE APT 122
City: Webster
State: Texas
ZIP Code: 77598-3260
Phone: (518) 542-9371

Authorized Official

Name: DR. KATHERINE NICOLE VAN WAGENEN, DC
Title: OWNER
Phone: (518) 542-9371

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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