Aequa Health and Wellness LLC
NPI #1235543158 in Ellisville, Missouri
Provider Information
- NPI Number
- 1235543158
- Entity Type
- Organization
- Organization Name
- Aequa Health and Wellness LLC
- Primary Specialty
- Chiropractor
- Enumeration Date
- Jun 18, 2014
- Last Updated
- Jun 18, 2014
Practice Location
- Address
- 179 CLARKSON EXECUTIVE PARK
- City
- Ellisville
- State
- Missouri
- ZIP Code
- 63011-2176
- Phone
- (636) 227-4442
Authorized Official
- Name
- DANIEL MICHAEL FAZIO, DC
- Title
- OWNER
- Phone
- (636) 227-4442
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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